Individual provider Active NPI

Alessandra Provenzano Moothart, OTR/L

  • Occupational Therapist
  • Irvine, CA
National Provider Identifier
1851203392
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
26139 Issued in CA
Practice address
15265 Alton Pkwy Ste 140
Irvine, CA 92618-2605
Phone
(949) 835-3746
NPI assigned
Sep 21, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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 26139 CA Primary

Addresses

Primary practice location

15265 Alton Pkwy Ste 140
Irvine, CA 92618-2605

Mailing address

15265 Alton Pkwy Ste 140
Irvine, CA 92618-2605
Phone (949) 413-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1851203392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15265 ALTON PKWY STE 140",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182605",
            "telephone_number": "949-413-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15265 ALTON PKWY STE 140",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182605",
            "telephone_number": "949-835-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOTHART",
        "first_name": "ALESSANDRA",
        "middle_name": "PROVENZANO",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "26139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.