Active NPI
Amanda Alexandra Velasquez, OTR/L
- Occupational Therapist
- Montclair, CA
National Provider Identifier
1861126377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22606
- Practice address
- 4959 Palo Verde St Ste 109C
Montclair, CA 91763-2358 - Phone
- (909) 971-3092
- NPI assigned
- Jul 11, 2022
- Last updated
- Jul 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 22606 | CA | Primary |
Addresses
Primary practice location
4959 Palo Verde St Ste 109C
Montclair, CA 91763-2358
Mailing address
861 N 3Rd St
Colton, CA 92324-2170
Phone (909) 835-3010
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapha Physical Therapy, Inc | Multi-Specialty | Current | Accepting new patients |
| Rehab Roots Occupational Therapy Inc. | Occupational Therapist | Current | Accepting new patients |
| Rapha Rehabilities | Past | Accepting new patients |
Locations
4959 Palo Verde St
Ste 109C
Montclair, CA 91763
Phone (909) 971-3092
Organizations & group practices 3
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
- Victorville, CA
- NPI 1962295600
-
- Multi-Specialty Clinic/Center
- Montclair, CA
- NPI 1245718287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1861126377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 N 3RD ST",
"city": "COLTON",
"state": "CA",
"postal_code": "923242170",
"telephone_number": "909-835-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4959 PALO VERDE ST STE 109C",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917632358",
"telephone_number": "909-971-3092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASQUEZ",
"first_name": "AMANDA",
"middle_name": "ALEXANDRA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-11",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "22606",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "4959 Palo Verde St Ste 109C",
"city": "Montclair",
"state": "CA",
"country_code": "US",
"postal_code": "917632358",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.