Active NPI
Man Lai Koon, O,T,
- Occupational Therapist
- San Mateo, CA
National Provider Identifier
1942567771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2049
- Practice address
- 222 39TH Avenue West
2ND Floor, Rehabilitaion Department
San Mateo, CA 94403 - Phone
- (650) 573-2472
- Fax
- (650) 573-3491
- NPI assigned
- Apr 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | OT2049 | CA | Primary |
Addresses
Primary practice location
222 39TH Avenue West
2ND Floor, Rehabilitaion Department
San Mateo, CA 94403
Mailing address
222 39TH Avenue West
2ND Floor, Rehabilitaion Department
San Mateo, CA 94403
Phone (650) 573-2472
Other names 1
- Ms. Helen Man Lai Koon
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2049 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1942567771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 39TH AVENUE WEST",
"address_2": "2ND FLOOR, REHABILITAION DEPARTMENT",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94403",
"telephone_number": "650-573-2472",
"fax_number": "650-573-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 39TH AVENUE WEST",
"address_2": "2ND FLOOR, REHABILITAION DEPARTMENT",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94403",
"telephone_number": "650-573-2472",
"fax_number": "650-573-3491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOON",
"first_name": "MAN LAI",
"name_prefix": "Ms.",
"credential": "O,T,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-18",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT2049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HELEN",
"last_name": "KOON",
"middle_name": "MAN LAI",
"prefix": "MS.",
"credential": "O.T.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.