Active NPI
Manuel Lazaro Alvarez Jr., OTR/L
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1689874422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 6558
- Practice address
- 3545 Wilshire Blvd
Los Angeles, CA 90010-2354 - Phone
- (310) 936-2226
- Fax
- (310) 745-0842
- NPI assigned
- Jul 19, 2007
- Last updated
- Jul 19, 2007
- Sex
- Male
- 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 | OT 6558 | CA | Primary |
Addresses
Primary practice location
3545 Wilshire Blvd
Los Angeles, CA 90010-2354
Mailing address
3545 Wilshire Blvd
Los Angeles, CA 90010-2354
Phone (310) 936-2226
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 |
|---|---|---|---|
| OT 6558 | CA | MD | Occupational Therapist |
| 6558 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Unlimited, Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1689874422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102354",
"telephone_number": "310-936-2226",
"fax_number": "310-745-0842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102354",
"telephone_number": "310-936-2226",
"fax_number": "310-745-0842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "MANUEL",
"middle_name": "LAZARO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 6558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.