Westside Occupational Therapy Inc

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

Legal business name

WESTSIDE OCCUPATIONAL THERAPY INC

Practice address

11344 Berwick St
Los Angeles, CA 90049-3414

Phone

(310) 869-2060

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Gretchen Clark Baker, OTR/LNPI 1861163446

Title

Owner

Phone

(310) 869-2060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gretchen Baker

  • Occupational Therapist
  • Westlake Village, CA
  • NPI 1861163446
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1912735655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11344 BERWICK ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493414",
            "telephone_number": "310-869-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11344 BERWICK ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493414",
            "telephone_number": "310-869-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE OCCUPATIONAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-869-2060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Westside Pharmacy Corporation (Westside Pharmacy)
• Westside Psych, a Group Psychology Practice
• Westside Radiology & Dianostic Services, LLC.
• Westside Sober Living Centers

• Physical Rehabilitation Occupational Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Rehabilitation Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.