Individual provider Active NPI

Mayra Munoz Del Real, DROT

  • Occupational Therapist
  • Redwood City, CA
National Provider Identifier
1811633753
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
350 Twin Dolphin Dr Ste 123
Redwood City, CA 94065-1458
Phone
(650) 259-8500
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

350 Twin Dolphin Dr Ste 123
Redwood City, CA 94065-1458

Mailing address

60 Lester Ave Apt 5
San Jose, CA 95125-3148
Phone (408) 775-5728

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abilitypath Occupational Therapist CurrentSince Jul 16, 2023 Accepting new patients

Locations

350 Twin Dolphin Dr
Ste 123
Redwood City, CA 94065
Phone (650) 259-8500

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1811633753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LESTER AVE APT 5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253148",
            "telephone_number": "408-775-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 TWIN DOLPHIN DR STE 123",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651458",
            "telephone_number": "650-259-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL REAL",
        "first_name": "MAYRA",
        "middle_name": "MUNOZ",
        "credential": "DROT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.