Active NPI
Corey Klein, OTR/L
- Occupational Therapist
- Palm Desert, CA
National Provider Identifier
1972092906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT17536
- Practice address
- 41505 Carlotta Dr
Palm Desert, CA 92211-3279 - Phone
- (760) 600-5904
- NPI assigned
- May 4, 2018
- Sex
- Male
- 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 | OT17536 | CA | Primary |
Addresses
Primary practice location
41505 Carlotta Dr
Palm Desert, CA 92211-3279
Mailing address
4200 Manzanita Ave Apt 75
Carmichael, CA 95608-1426
Phone (559) 350-5984
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 |
|---|---|---|---|
| OT17536 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1972092906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 MANZANITA AVE APT 75",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956081426",
"telephone_number": "559-350-5984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41505 CARLOTTA DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922113279",
"telephone_number": "760-600-5904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "COREY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-04",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT17536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.