Arturo Itchon Abrera Jr., OTR/L, CNS, CPAM,

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

18881 Issued in CA

Practice address

9107 Davis Rd
Stockton, CA 95209-1807

Phone

(209) 478-6488

NPI assigned

Feb 23, 2021

Last updated

Feb 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1699369462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 DAVIS RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952091807",
            "telephone_number": "209-478-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9107 DAVIS RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952091807",
            "telephone_number": "209-478-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRERA",
        "first_name": "ARTURO",
        "middle_name": "ITCHON",
        "name_suffix": "Jr.",
        "credential": "OTR/L,  CNS, CPAM,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "18881",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CA",
            "license": "18881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Above and Beyond Senior Care LLC (Above and Beyond Senior Care)
• Ledya Abraha
• Anita Abraham, M.D.
• Susan M Abraham, M.D.
• Jessica Louise Abrahamson
• Alyssa Abreu, PHD, RD
• Magdalena Guadalupe Abrica
• William Abriel
• Salvador Antonio Absalon Ramos
• Bader Abu Ghalyoun, MD

• Neurorehabilitation Occupational Therapist in Stockton, CA
• Providers in Stockton, CA by specialty
• Neurorehabilitation Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.