Patrick Jason Viola, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

20929 Issued in CA

Practice address

653 Camino de Los Mares Ste 110
San Clemente, CA 92673-2808

Phone

(949) 496-0122

Fax

(949) 496-5027

NPI assigned

Mar 17, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Scor Physical Therapy Inc

  dba San Clemente Orthopedic Rehab

  • Physical Therapy Clinic/Center
  • San Clemente, CA
  • NPI 1881795375
  NPD

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1891321386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15222 NORMANDY LN",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384700",
            "telephone_number": "714-349-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 CAMINO DE LOS MARES STE 110",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732808",
            "telephone_number": "949-496-0122",
            "fax_number": "949-496-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLA",
        "first_name": "PATRICK",
        "middle_name": "JASON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "20929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vedanta Laboratories, Inc
• Jonathan Verstegen
• Karen Sue Vesely, LMFT
• Guadalupe Villa, PTA
• Joselyn Villamil, RBT
• John Allen Virag, DC
• Anna Visser
• John Robert Vogt, D.C.
• Seema Wadhwani, PTA
• Paul Phillip Wager Jr., MFT

• Occupational Therapist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.