Active NPI
Makayla Draeger
- Pediatric Occupational Therapist
- La Verne, CA
National Provider Identifier
1972412013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 24157
- Practice address
- 3022 Bolling Ave
La Verne, CA 91750-3626 - Phone
- (909) 643-9619
- NPI assigned
- Sep 3, 2026
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 24157 | CA | Primary |
Addresses
Primary practice location
3022 Bolling Ave
La Verne, CA 91750-3626
Mailing address
3022 Bolling Ave
La Verne, CA 91750-3626
Phone (909) 643-9619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1972412013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3022 BOLLING AVE",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917503626",
"telephone_number": "909-643-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3022 BOLLING AVE",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917503626",
"telephone_number": "909-643-9619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAEGER",
"first_name": "MAKAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "24157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.