Individual provider Active NPI

Jessica Y Lee, OTR/L

  • Occupational Therapist
  • Westminster, CA
National Provider Identifier
1720708902
Registry record updated Sep 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17763 Issued in CA
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

Updated by the provider on Sep 11, 2022

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 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

LicenseStateTypeSpecialty
17763CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Rehab a Medical Group Inc. CurrentSince Sep 1, 2022 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.

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.

Verify at the official NPI Registry.