Irene Song Lee, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 15729 Issued in CA

Practice address

233 Orangefair Mall
Fullerton, CA 92832-3038

Phone

(714) 870-6116

NPI assigned

Sep 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Irene Song Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Therapy for Kids, Inc.

  dba Gallagher Pediatric Therapy

  • Pediatric Occupational Therapist
  • Fullerton, CA
  • NPI 1396053716
  NPD (past)

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1770950198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 KNOXVILLE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131734",
            "telephone_number": "626-532-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 ORANGEFAIR MALL",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323038",
            "telephone_number": "714-870-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "IRENE",
        "middle_name": "SONG",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "15729",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 15729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "SONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eunice Lee
• Eunice Lee, M.D.
• Faith Mideum Lee, PHARMD
• Grace Jin Lee, P.A.-C
• Hoon Hee Lee
• Ivan Jisoo Lee, MD
• Jae-Kyung Lee, M.A.
• James Horng-Hwai Lee, OT
• James J Lee, M.D
• Jamie J. Lee, D.D.S.

• Occupational Therapist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.