Individual provider Active NPI

Tammi Magie, COTA

  • Occupational Therapy Assistant
  • Beaumont, CA
National Provider Identifier
1689030587
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
1492 Issued in CA
Practice address
1441 Michigan Ave
Beaumont, CA 92223-1728
Phone
(951) 769-2500
Fax
(951) 769-2511
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1492 CA Primary
Alzheimer Center (Dementia Center) 311500000X 1492 CA

Addresses

Primary practice location

1441 Michigan Ave
Beaumont, CA 92223-1728

Mailing address

1514 Meadow Crest Rd
Beaumont, CA 92223-6430
Phone (951) 769-6226

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

LicenseStateTypeSpecialty
1492CAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1689030587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 MEADOW CREST RD",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922236430",
            "telephone_number": "951-769-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 MICHIGAN AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922231728",
            "telephone_number": "951-769-2500",
            "fax_number": "951-769-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGIE",
        "first_name": "TAMMI",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "1492",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "1492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.