Individual provider Active NPI

Kyung-Ran Tae, OT/L

  • Occupational Therapist
  • Redding, CA
National Provider Identifier
1902198575
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT10347 Issued in CA
Practice address
275 Hilltop Dr Apt 31
Redding, CA 96003-3238
Phone
(714) 714-5597
NPI assigned
May 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 OT10347 CA Primary

Addresses

Primary practice location

275 Hilltop Dr Apt 31
Redding, CA 96003-3238

Mailing address

275 Hilltop Dr Apt 31
Redding, CA 96003-3238
Phone (714) 714-5597

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heeyeon Incorporated Occupational Therapist CurrentSince Dec 1, 2015 Accepting new patients
J Healing Clinic Occupational Therapy Occupational Therapist Past Accepting new patients
Kim Youngrae Medical, Inc PastSince Nov 27, 2022 Accepting new patients
Omega, Inc. Occupational Therapist Past Accepting new patients
Feld Care Therapy Inc Occupational Therapist Past Accepting new patients

Locations

1001 S Brookhurst Rd
Ste 101
Fullerton, CA 92833
Phone (714) 879-9968

Organizations & group practices 5

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": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1902198575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HILLTOP DR APT 31",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033238",
            "telephone_number": "714-714-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HILLTOP DR APT 31",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033238",
            "telephone_number": "714-714-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAE",
        "first_name": "KYUNG-RAN",
        "name_prefix": "Ms.",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT10347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.