Active NPI
Monica Ann Phelan, OTR/L
- Physical Rehabilitation Occupational Therapist
- San Carlos, CA
National Provider Identifier
1720308224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 10350
- Practice address
- 44 Elm St
San Carlos, CA 94070-2209 - Phone
- (650) 595-1255
- NPI assigned
- Jun 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 10350 | CA | Primary |
Addresses
Primary practice location
44 Elm St
San Carlos, CA 94070-2209
Mailing address
44 Elm St
San Carlos, CA 94070-2209
Phone (650) 595-1255
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10350 | CA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1720308224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 ELM ST",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940702209",
"telephone_number": "650-595-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 ELM ST",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940702209",
"telephone_number": "650-595-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELAN",
"first_name": "MONICA",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CA",
"license": "10350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.