Individual provider Active NPI

Man Lai Koon, O,T,

  • Occupational Therapist
  • San Mateo, CA
National Provider Identifier
1942567771
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2049 Issued in CA
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

Updated by the provider on Apr 18, 2012

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 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 Professional name

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

LicenseStateTypeSpecialty
OT2049CAMDOccupational 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.

Verify at the official NPI Registry.