Individual provider Active NPI

Kalin W. Le, MS, OTR/L

  • Occupational Therapist
  • Irvine, CA
National Provider Identifier
1710404942
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17813 Issued in CA
Practice address
980 Roosevelt Ste 100
Irvine, CA 92620-3670
Phone
(949) 333-6400
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 17813 CA Primary

Addresses

Primary practice location

980 Roosevelt Ste 100
Irvine, CA 92620-3670

Mailing address

980 Roosevelt Ste 100
Irvine, CA 92620-3670
Phone (949) 333-6400

Other practice location 1

971 Calle Amanecer
San Clemente, CA 92673-4228
Phone (949) 498-5100

Other practice location 2

304 W Cerritos Ave
Anaheim, CA 92805-6550
Phone (714) 776-1231

Other names 1

  • Kalin W. Coleman Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
17813CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy of Orange County PastSince Dec 9, 2019 Accepting new patients
Progress Speech & Language Pathology Center, Inc. Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1710404942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 ROOSEVELT STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203670",
            "telephone_number": "949-333-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 ROOSEVELT STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203670",
            "telephone_number": "949-333-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 Calle Amanecer",
            "address_purpose": "LOCATION",
            "city": "San Clemente",
            "state": "CA",
            "postal_code": "926734228",
            "country_code": "US",
            "telephone_number": "949-498-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 W Cerritos Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928056550",
            "country_code": "US",
            "telephone_number": "714-776-1231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "KALIN",
        "middle_name": "W.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "17813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALIN",
            "last_name": "COLEMAN",
            "middle_name": "W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.