Individual provider Active NPI

Betsy Ann Aasland, MS, O.T.R.

  • Pediatric Occupational Therapist
  • San Clemente, CA
National Provider Identifier
1740301647
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
6019 Issued in CA
Practice address
1120 Via Callejon Ste B
San Clemente, CA 92673-6264
Phone
(949) 498-5100
Fax
(949) 366-5665
NPI assigned
Apr 2, 2007
Last updated
Jan 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 6019 CA Primary

Addresses

Primary practice location

1120 Via Callejon Ste B
San Clemente, CA 92673-6264

Mailing address

1120 Via Callejon Ste B
San Clemente, CA 92673-6264
Phone (949) 498-5100

Other identifiers 2

IdentifierTypeStateIssuer
1025653OtherCANBCOT CERTIFICATION
6019OtherCASTATE LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328000252 CA Practitioner - Occupational Therapist in Private Practice 5193196152 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6019CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Watson Sports Performance & Rehabilitation Inc CurrentSince Apr 30, 2021 Accepting new patients
Beach Kids Therapy Center, Inc. Pediatrics Past Accepting new patients

Locations

1000 Calle Amanecer
San Clemente, CA 92673
Phone (949) 481-9113

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1740301647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 VIA CALLEJON STE B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736264",
            "telephone_number": "949-498-5100",
            "fax_number": "949-366-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 VIA CALLEJON STE B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736264",
            "telephone_number": "949-498-5100",
            "fax_number": "949-366-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AASLAND",
        "first_name": "BETSY",
        "middle_name": "ANN",
        "credential": "MS, O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "6019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT CERTIFICATION",
            "identifier": "1025653",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "6019",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.