Individual provider Active NPI

Ilene Newman

  • Occupational Therapist
  • Newport Beach, CA
National Provider Identifier
1861964157
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
19475 Issued in CA
Practice address
20280 SW Acacia St Ste 120
Newport Beach, CA 92660-0782
Phone
(949) 590-9350
Fax
(714) 361-2606
NPI assigned
Dec 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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 19475 CA Primary

Addresses

Primary practice location

20280 SW Acacia St Ste 120
Newport Beach, CA 92660-0782

Mailing address

20280 SW Acacia St Ste 120
Newport Beach, CA 92660-0782
Phone (949) 590-9350

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
19475CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mesisca Physical Therapy Inc CurrentSince Jun 6, 2024 Accepting new patients
JM Physical Therapy Inc Past Accepting new patients

Organizations & group practices 2

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": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1861964157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 SW ACACIA ST STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600782",
            "telephone_number": "949-590-9350",
            "fax_number": "714-361-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20280 SW ACACIA ST STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600782",
            "telephone_number": "949-590-9350",
            "fax_number": "714-361-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ILENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "19475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.