| Selective Rehab | |
|
4341 Birch St, Ste 102, Newport Beach, CA 92660-1924 | |
| (949) 475-1002 | |
| (949) 475-1003 |
| Full Name | Selective Rehab |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 4341 Birch St, Newport Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679508220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT 594 (California) | Primary |
| Provider Name | Smita D Mistry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871518944 PECOS PAC ID: 4486654522 Enrollment ID: I20070112000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Selective Rehab 4341 Birch St, Suite 102, Newport Beach, CA 92660-1924 Ph: (949) 475-1002 | Selective Rehab 4341 Birch St, Ste 102, Newport Beach, CA 92660-1924 Ph: (949) 475-1002 |
Lauren Elizabeth Schaudies, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19772 Macarthur Blvd, Ste 260a, Newport Beach, CA 92660 Phone: 949-474-4525 | |
Stephanie Nicole Thorp, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 518 San Bernardino Ave, Newport Beach, CA 92663 Phone: 310-614-7590 | |
Tamara Lloyd, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3900 Birch St Ste 103, Newport Beach, CA 92660 Phone: 949-955-0010 | |
Kristy Anh Nguyen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 466 Flagship Rd, Newport Beach, CA 92663 Phone: 949-642-8044 | |
Gohar Ghushchyan-tigranyan, OTD Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1880 Park Newport Apt 209, Newport Beach, CA 92660 Phone: 323-283-4673 | |
Lindsey M White, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1825 Port Manleigh Pl, Newport Beach, CA 92660 Phone: 310-948-1293 | |
Michelle Pegler, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 Marsala, Newport Beach, CA 92660 Phone: 714-322-9239 |