Active NPI
Betsy Ann Aasland, MS, O.T.R.
- Pediatric Occupational Therapist
- San Clemente, CA
National Provider Identifier
1740301647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 6019
- 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, 2012
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025653 | Other | CA | NBCOT CERTIFICATION |
| 6019 | Other | CA | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6019 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watson Sports Performance & Rehabilitation Inc | Current | 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.
-
dba Watson Sports Performance & Rehabilitation
- Occupational Therapist
- San Clemente, CA
- NPI 1437732120
-
- Pediatric Occupational Therapist
- San Clemente, CA
- NPI 1760658074
Pediatrics
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.