Active NPI
Ethie M Tate-Quinalty, OTR/L
- Occupational Therapist
- Riverside, CA
National Provider Identifier
1689286957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT10656
- Practice address
- 7898 California Ave
Riverside, CA 92504-2597 - Phone
- (951) 643-3699
- NPI assigned
- Aug 18, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT10656 | CA | Primary |
Addresses
Primary practice location
7898 California Ave
Riverside, CA 92504-2597
Mailing address
7016 SVL Box
Victorville, CA 92395-5107
Phone (760) 953-9267
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10656 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| OT10656 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1689286957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7016 SVL BOX",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955107",
"telephone_number": "760-953-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7898 CALIFORNIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925042597",
"telephone_number": "951-643-3699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE-QUINALTY",
"first_name": "ETHIE",
"middle_name": "M",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT10656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.