Individual provider Active NPI

Donna M. Ganley-O'Brien, OTR/L, HTC, PAM

  • Occupational Therapist
  • Escondido, CA
National Provider Identifier
1790228500
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6437 Issued in CA
Practice address
215 S Hickory St
Suite 112
Escondido, CA 92025-4359
Phone
(760) 737-8460
Fax
(760) 739-5669
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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 6437 CA Primary
Hand Occupational Therapist 225XH1200X 6437 CA

Addresses

Primary practice location

215 S Hickory St
Suite 112
Escondido, CA 92025-4359

Mailing address

29645 Rancho California Rd
Ste. 234
Temecula, CA 92591-6200
Phone (951) 506-3001

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

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1790228500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29645 RANCHO CALIFORNIA RD",
            "address_2": "STE. 234",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916200",
            "telephone_number": "951-506-3001",
            "fax_number": "951-506-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S HICKORY ST",
            "address_2": "SUITE 112",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254359",
            "telephone_number": "760-737-8460",
            "fax_number": "760-739-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANLEY-O'BRIEN",
        "first_name": "DONNA",
        "middle_name": "M.",
        "credential": "OTR/L, HTC, PAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "6437",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "6437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.