Individual provider Active NPI

Annie Choi, OTR/L

  • Occupational Therapist
  • Downey, CA
National Provider Identifier
1821436585
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13403 Issued in CA
Practice address
12215 Dolan Ave
Downey, CA 90242-3641
Phone
(562) 418-8288
NPI assigned
Jun 4, 2013
Last updated
Jun 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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 13403 CA Primary
Occupational Therapist 225X00000X 017981 NY

Addresses

Primary practice location

12215 Dolan Ave
Downey, CA 90242-3641

Mailing address

12215 Dolan Ave
Downey, CA 90242-3641
Phone (562) 418-8288

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
13403CAMDSpeech-Language Pathologist
017981NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tally M Ward CurrentSince Oct 28, 2021 Accepting new patients

Locations

200 N Interstate 35 Rd
Ste C
Red Oak, TX 75154
Phone (469) 917-0805

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1821436585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12215 DOLAN AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423641",
            "telephone_number": "562-418-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12215 DOLAN AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423641",
            "telephone_number": "562-418-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "ANNIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "13403",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "017981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.