Active NPI
Linda Marie Bourell, OTR-L
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1972807154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9901
- Practice address
- 1700 Armacost Ave
Los Angeles, CA 90025-3804 - Phone
- (310) 826-7935
- Fax
- (310) 826-7935
- NPI assigned
- Jan 3, 2011
- 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 | 9901 | CA | Primary |
Addresses
Primary practice location
1700 Armacost Ave
Los Angeles, CA 90025-3804
Mailing address
2000 Stadium Way
N/a
Los Angeles, CA 90026-2606
Phone (213) 250-4200
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9901 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Center of Southern California | 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.
-
- Hand Occupational Therapist
- Canoga Park, CA
- NPI 1740422765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1972807154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 STADIUM WAY",
"address_2": "N/A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900262606",
"telephone_number": "213-250-4200",
"fax_number": "213-202-6805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 ARMACOST AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900253804",
"telephone_number": "310-826-7935",
"fax_number": "310-826-7935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURELL",
"first_name": "LINDA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "OTR-L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-03",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "9901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.