Robert Phillips, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT4258 Issued in CA

Practice address

1340 Highland Ave
Duarte, CA 91010-2520

Phone

(626) 692-4337

NPI assigned

Dec 6, 2019

Sex

Male

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

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1982241139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13127 HUMMINGBIRD LN",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424491",
            "telephone_number": "818-606-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 HIGHLAND AVE",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102520",
            "telephone_number": "626-692-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ROBERT",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT4258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerick Richard Peterson, PTA
• Maggie Pezeshkian, D.C.
• Anh Pham
• Monique Kim Phan, DO
• Mylinh Phan, NP
• Tycel Jovelle Phillips, M.D.
• Laura Isabel Picazo
• Samantha Renee Pichardo, FNP-C
• Donna Marie Pichler, R.N.
• Christina Ann Pierce, NP

• Occupational Therapist in Duarte, CA
• Providers in Duarte, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.