Active NPI
Abigail Twilling
- Pediatric Occupational Therapist
- Glendale, CA
National Provider Identifier
1841855947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 24974
- Practice address
- 611 N Brand Blvd Ste 100
Glendale, CA 91203-3240 - Phone
- (747) 286-2600
- Fax
- (747) 204-0181
- NPI assigned
- May 3, 2019
- Last updated
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | 5201007520 | MI | |
| Pediatric Occupational Therapist | 225XP0200X | 24974 | CA | Primary |
Addresses
Primary practice location
611 N Brand Blvd Ste 100
Glendale, CA 91203-3240
Mailing address
6160 Cornerstone CT E Ste 100
San Diego, CA 92121-3724
Phone (858) 216-8837
Other practice location 1
5943 Stadium Dr
Kalamazoo, MI 49009-3016
Phone (269) 389-9102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI5239 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://sensoryclinicwest.com/ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201007520 | MI | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sensory Systems Clinic West, PLC | Current | Accepting new patients |
Locations
145 S Main St
Ste 4
Wayland, MI 49348
Phone (269) 792-2353
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.
-
- Occupational Therapist
- Wayland, MI
- NPI 1699047050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1841855947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6160 CORNERSTONE CT E STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213724",
"telephone_number": "858-216-8837",
"fax_number": "619-941-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 N BRAND BLVD STE 100",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912033240",
"telephone_number": "747-286-2600",
"fax_number": "747-204-0181"
}
],
"practiceLocations": [
{
"address_1": "5943 Stadium Dr",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490093016",
"country_code": "US",
"telephone_number": "269-389-9102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TWILLING",
"first_name": "ABIGAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-03",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MI",
"license": "5201007520",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "24974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MI5239",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://sensoryclinicwest.com/",
"affiliation": "N",
"address_1": "145 S Main St Ste 4",
"city": "Wayland",
"state": "MI",
"country_code": "US",
"postal_code": "493481702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.