Active NPI
Samantha Wotring, OT
- Occupational Therapist
- Huntington Beach, CA
National Provider Identifier
1922087600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 2094
- Practice address
- 5772 Bolsa Ave
Ste 101
Huntington Beach, CA 92649-1134 - Phone
- (714) 897-3589
- Fax
- (714) 897-1316
- NPI assigned
- Jan 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 | OT 2094 | CA | Primary |
Addresses
Primary practice location
5772 Bolsa Ave
Ste 101
Huntington Beach, CA 92649-1134
Mailing address
12812 Timber Rd
Unit E
Garden Grove, CA 92840-6548
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT 2094 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Rehab and Sports Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hand Occupational Therapist
- Los Angeles, CA
- NPI 1639129745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1922087600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12812 TIMBER RD",
"address_2": "UNIT E",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928406548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5772 BOLSA AVE",
"address_2": "STE 101",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926491134",
"telephone_number": "714-897-3589",
"fax_number": "714-897-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOTRING",
"first_name": "SAMANTHA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 2094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.