Individual provider Active NPI

Andrea Han, OTR/L

  • Pediatric Occupational Therapist
  • Arcadia, CA
National Provider Identifier
1720403678
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT14091 Issued in CA
Practice address
50 E Foothill Blvd Ste 100
Arcadia, CA 91006-2314
Phone
(626) 445-2400
Fax
(626) 445-2419
NPI assigned
Mar 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT14091 CA Primary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X OT14091 CA

Addresses

Primary practice location

50 E Foothill Blvd Ste 100
Arcadia, CA 91006-2314

Mailing address

50 E Foothill Blvd Ste 100
Arcadia, CA 91006-2314
Phone (626) 445-2400

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

LicenseStateTypeSpecialty
OT14091CAMDFeeding, Eating & Swallowing Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heeyeon Incorporated CurrentSince Oct 1, 2015 Accepting new patients
Dynamic Therapies, Inc. Pediatrics PastSince May 30, 2023 Accepting new patients

Locations

1001 S Brookhurst Rd
Ste 101
Fullerton, CA 92833
Phone (714) 879-9968

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1720403678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E FOOTHILL BLVD STE 100",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062314",
            "telephone_number": "626-445-2400",
            "fax_number": "626-445-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E FOOTHILL BLVD STE 100",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062314",
            "telephone_number": "626-445-2400",
            "fax_number": "626-445-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "ANDREA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-02",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT14091",
            "primary": true
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "CA",
            "license": "OT14091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.