Active NPI
Demi Nelson, MS, OTR/L
- Occupational Therapist
- Lakewood, CA
National Provider Identifier
1710471602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17814
- Practice address
- 5423 Turner CT
Lakewood, CA 90712-1451 - Phone
- (562) 714-6728
- NPI assigned
- Jun 14, 2018
- 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 | 17814 | CA | Primary |
Addresses
Primary practice location
5423 Turner CT
Lakewood, CA 90712-1451
Mailing address
765 Stone Harbor Cir
La Habra, CA 90631-8935
Phone (562) 714-6728
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17814 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1710471602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 STONE HARBOR CIR",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906318935",
"telephone_number": "562-714-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5423 TURNER CT",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121451",
"telephone_number": "562-714-6728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DEMI",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-14",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "17814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.