Boguslawa Teresa Syrotiak

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

9987 Issued in CA

Practice address

16257 Laguna Canyon Road
Suite 150
Irvine, CA 92618

Phone

(949) 727-2192

NPI assigned

May 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Boguslawa Teresa Kellogg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Advance Occupational & Hand Therapy Center

  • Hand Occupational Therapist
  • Anaheim, CA
  • NPI 1932728367
  NPD (past)
• Par Plus, Inc.

  • Physical Therapist
  • Mission Viejo, CA
  • NPI 1003917105
  NPD (past)

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1942477997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21802 MICHIGAN LANE",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "92630",
            "telephone_number": "626-831-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16257 LAGUNA CANYON ROAD",
            "address_2": "SUITE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-727-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYROTIAK",
        "first_name": "BOGUSLAWA",
        "middle_name": "TERESA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOGUSLAWA",
            "last_name": "KELLOGG",
            "middle_name": "TERESA",
            "prefix": "MRS.",
            "credential": "OTR L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kari A. Sylvester, LCSW
• Danielle Symes, PPS
• Jennifer Symon, PHD, BCBA-D
• Synergi Pharmaceutical Solutions Inc
• Daniella Syphus
• Richard Julius Szabo, M.D.
• Raphaella Marie Szymanski
• T&M Assisted Transportaton, Inc
• Phillip Anh Ta, M.D.
• Queennie Ta

• Occupational Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.