Active NPI
Lauren Witman, OTR/L
- Occupational Therapist
- Placentia, CA
National Provider Identifier
1972059285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17915
- Practice address
- 740 S Placentia Ave Ste 100
Placentia, CA 92870-6832 - Phone
- (714) 646-8318
- Fax
- (714) 646-8320
- NPI assigned
- Aug 27, 2016
- 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 | 17915 | CA | Primary |
Addresses
Primary practice location
740 S Placentia Ave Ste 100
Placentia, CA 92870-6832
Mailing address
130 E Chapman Ave Apt 336
Fullerton, CA 92832-1993
Phone (805) 208-5874
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 |
|---|---|---|---|
| 17915 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxum Physical Therapy Inc | Occupational Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514332800000",
"number": "1972059285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 E CHAPMAN AVE APT 336",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321993",
"telephone_number": "805-208-5874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S PLACENTIA AVE STE 100",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928706832",
"telephone_number": "714-646-8318",
"fax_number": "714-646-8320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITMAN",
"first_name": "LAUREN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-27",
"last_updated": "2017-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "17915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.