NPIMap

Individual provider Active NPI

Wallen Joy Clarete Legrama, OT

  • Occupational Therapist
  • Bakersfield, CA
National Provider Identifier
1750511309
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT10470 Issued in CA
Practice address
350 Calloway Dr
Bakersfield, CA 93312-2974
Phone
(661) 231-8985
NPI assigned
Jul 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT004628 GA
Occupational Therapist 225X00000X OT10470 CA Primary

Addresses

Primary practice location

350 Calloway Dr
Bakersfield, CA 93312-2974

Mailing address

1013 Riverburch Pkwy
Suite 4
Dalton, GA 30721-8887
Phone (866) 261-8090

Other practice location 1

1013 Riverburch Pkwy
Suite 4
Dalton, GA 30721-8887
Phone (866) 261-8090 ext. 3335

Other names 1

  • Ms. Wallen Joy Pascual Clarete Former name

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
OT10470CAMDOccupational Therapist
OT004628GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integra Rehabilitation Agency, LLC PastSince Nov 7, 2014 Accepting new patients

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1750511309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 RIVERBURCH PKWY",
            "address_2": "SUITE 4",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218887",
            "telephone_number": "866-261-8090",
            "fax_number": "706-226-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CALLOWAY DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122974",
            "telephone_number": "661-231-8985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 Riverburch Pkwy",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307218887",
            "country_code": "US",
            "telephone_number": "866-261-8090 x3335",
            "fax_number": "706-226-7869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGRAMA",
        "first_name": "WALLEN JOY",
        "middle_name": "CLARETE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004628",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT10470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WALLEN JOY",
            "last_name": "CLARETE",
            "middle_name": "PASCUAL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.