Organization Active NPI

MC Rehab Corp.

  • Occupational Therapist
  • Garden Grove, CA
National Provider Identifier
1720874241
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MC REHAB CORP.
Practice address
11762 Canary LN
Garden Grove, CA 92841-2608
Phone
(657) 250-7740
NPI assigned
Apr 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Crystal Lee Low, COTANPI 1275007643
Title
Cfo
Phone
(657) 250-7740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

11762 Canary LN
Garden Grove, CA 92841-2608

Mailing address

3306 Yorba Linda Blvd # 109
Fullerton, CA 92831-1709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250723001839 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375059587 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

3306 Yorba Linda Blvd
Fullerton, CA 92831
Phone (562) 498-3368

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1720874241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 YORBA LINDA BLVD # 109",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928311709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11762 CANARY LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412608",
            "telephone_number": "657-250-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC REHAB CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "LOW",
        "authorized_official_first_name": "CRYSTAL LEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "657-250-7740",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.