Theodora Chan, MSOT, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

21682 Issued in CA

Practice address

116 E Walnut Ave
Monrovia, CA 91016-3431

Phone

(626) 357-9934

NPI assigned

Oct 29, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cornerstone Therapies

  • Behavior Analyst
  • Huntington Beach, CA
  • NPI 1235109331
  NPD (past)
• Rosemary Johnson & Associates Clinic, Inc.

  • Pediatric Occupational Therapist
  • Monrovia, CA
  • NPI 1730444233

  Pediatrics

  NPD (past)
• Rosemary Johnson and Associates Clinic Inc.

  • Specialist
  • Monrovia, CA
  • NPI 1770620585
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1982204764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E WALNUT AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E WALNUT AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163431",
            "telephone_number": "626-357-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "THEODORA",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "21682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn H Chan, D.D.S.
• Jeffrey CHI Kin Chan, M.S
• Jonathan Chan
• Nathan Chan
• Rita Chan
• Mashae Chance
• Dave Chander
• Alexander Chandler
• Emily Chandler
• Italia Chandler

• Pediatric Occupational Therapist in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.