Individual provider Active NPI

Tamara McCulley, OTR/L

  • Occupational Therapist
  • Orange, CA
National Provider Identifier
1689025637
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16393 Issued in CA
Practice address
3111 N Tustin St Ste 180
Orange, CA 92865-1752
Phone
(714) 282-7701
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 16393 CA Primary

Addresses

Primary practice location

3111 N Tustin St Ste 180
Orange, CA 92865-1752

Mailing address

3111 N Tustin St Ste 180
Orange, CA 92865-1752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713001731 CA Practitioner - Occupational Therapist in Private Practice 6507289808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2888 Long Beach Blvd
Suite 405
Long Beach, CA 90806-1551
Phone (562) 595-4489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16393CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehabilitation & Sports Therapy a California Physical Ther Current Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther CurrentSince Feb 1, 2021 Accepting new patients
Ross Nathan MD, Inc. CurrentSince Mar 31, 2020 Accepting new patients
California Rehab & Sports Therapy CurrentSince Feb 1, 2021 Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

1640 Newport Blvd
Ste 260
Costa Mesa, CA 92627
Phone (949) 335-7967

12555 Lakewood Blvd
Ste F
Downey, CA 90242
Phone (562) 247-0158

24050 Aliso Creek Rd
Ste 1C
Laguna Niguel, CA 92677
Phone (949) 317-4454

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

3918 Long Beach Blvd
Ste 100
Long Beach, CA 90807
Phone (562) 424-9000

200 Newport Center Dr
Ste 213
Newport Beach, CA 92660
Phone (949) 644-0316

3111 N Tustin St
Ste 180
Orange, CA 92865
Phone (714) 282-7701

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1689025637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 N TUSTIN ST STE 180",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 N TUSTIN ST STE 180",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651752",
            "telephone_number": "714-282-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLEY",
        "first_name": "TAMARA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "16393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.