Leann Renee Vitale, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

16263 Issued in CA

Practice address

3324 Alabama Cir
Costa Mesa, CA 92626-2029

Phone

(609) 338-7175

NPI assigned

Oct 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orange County Occupational Therapy IncGroup PAC ID 0547650020, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Orange County Occupational Therapy Inc

  • Occupational Therapist
  • Costa Mesa, CA
  • NPI 1750044053
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1801558770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 ALABAMA CIR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262029",
            "telephone_number": "714-406-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 ALABAMA CIR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262029",
            "telephone_number": "609-338-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "LEANN",
        "middle_name": "RENEE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "16263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Villegas
• Jeff Vintimilla
• Vision Link Inc
• Vista Drug
• Vital Medical Solutions
• Cinthya L. Viteri
• George Joseph Vitolo
• Emily Vivas
• Angela Joaneli Vizcarra
• Andrew Thien Vo, DDS, MS

• Occupational Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.