Active NPI
Kayla Stewart
- Pediatric Occupational Therapist
- Hawthorne, CA
National Provider Identifier
1669955951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 20546
- Practice address
- 11840 S la Cienega Blvd
Hawthorne, CA 90250-3459 - Phone
- (424) 269-3400
- Fax
- (310) 882-5451
- NPI assigned
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Occupational Therapist | 225XP0200X | 20546 | CA | Primary |
Addresses
Primary practice location
11840 S la Cienega Blvd
Hawthorne, CA 90250-3459
Mailing address
7055 Charmant Dr Apt 101
San Diego, CA 92122-4340
Phone (562) 457-7363
Other practice location 1
3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812
Phone (310) 371-8555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20546 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids in Motion Pediatric Therapy | Pediatrics | Current | Accepting new patients |
| Kids in Motion Physical Therapy, Inc | Pediatrics | Current | Accepting new patients |
| Napa Center, Inc. | Pediatrics | Past | Accepting new patients |
Locations
3460 Torrance Blvd
Ste 100
Torrance, CA 90503
Phone (310) 371-8555
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Torrance, CA
- NPI 1922471358
Pediatrics
-
- Pediatric Physical Therapist
- Torrance, CA
- NPI 1033356597
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1669955951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7055 CHARMANT DR APT 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921224340",
"telephone_number": "562-457-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11840 S LA CIENEGA BLVD",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902503459",
"telephone_number": "424-269-3400",
"fax_number": "310-882-5451"
}
],
"practiceLocations": [
{
"address_1": "3460 Torrance Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905035812",
"country_code": "US",
"telephone_number": "310-371-8555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "20546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.