Otoc Occupational Therapy Services Incorporated

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

AA560458 Issued in CA

Legal business name

OTOC OCCUPATIONAL THERAPY SERVICES INCORPORATED

Practice address

22642 Lambert St
Ste 403
Lake Forest, CA 92630-1610

Phone

(949) 922-9378

Fax

(949) 273-6433

NPI assigned

Sep 25, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julie Ellen Papadakis, OTR/L, HTC, PAMSNPI 1073888913

Title

Occupational Therapist/Owner

Phone

(949) 922-9378

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Ellen Papadakis, OTR/L, CST, CTI

  • Neurorehabilitation Occupational Therapist
  • Lake Forest, CA
  • NPI 1073888913
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1689000374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22642 LAMBERT ST",
            "address_2": "STE 403",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301610",
            "telephone_number": "949-922-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22642 LAMBERT ST",
            "address_2": "STE 403",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301610",
            "telephone_number": "949-922-9378",
            "fax_number": "949-273-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTOC OCCUPATIONAL THERAPY SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "PAPADAKIS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "949-922-9378",
        "authorized_official_credential": "OTR/L, HTC, PAMS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "AA560458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.