Active NPI
Jessica Y Lee, OTR/L
- Occupational Therapist
- Westminster, CA
National Provider Identifier
1720708902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17763
- Practice address
- 15201 Beach Blvd Ste a
Westminster, CA 92683-6243 - Phone
- (714) 373-4555
- NPI assigned
- Aug 30, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17763 | CA | Primary |
Addresses
Primary practice location
15201 Beach Blvd Ste a
Westminster, CA 92683-6243
Mailing address
6132 Montecito Dr
Huntington Beach, CA 92647-3223
Phone (714) 722-4602
Other practice location 1
8382 Newman Ave
Huntington Beach, CA 92647-7095
Phone (714) 842-5551
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17763 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oc Rehab a Medical Group Inc. | Current | Accepting new patients |
Locations
15201 Beach Blvd
Ste A
Westminster, CA 92683
Phone (714) 373-4555
Organizations & group practices 1
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.
-
- Physical Therapist
- Westminster, CA
- NPI 1851859714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662854400000",
"number": "1720708902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6132 MONTECITO DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473223",
"telephone_number": "714-722-4602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15201 BEACH BLVD STE A",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836243",
"telephone_number": "714-373-4555"
}
],
"practiceLocations": [
{
"address_1": "8382 Newman Ave",
"address_purpose": "LOCATION",
"city": "Huntington Beach",
"state": "CA",
"postal_code": "926477095",
"country_code": "US",
"telephone_number": "714-842-5551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JESSICA",
"middle_name": "Y",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2022-09-11",
"certification_date": "2022-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "17763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.