Mary Therese Etayeb, OTR
NPI 1790982858ActiveIndividual· Occupational Therapist, Hand· Los Angeles, CA
Occupational Therapist, Hand (OTR) with Southern California Permanente Medical Group, practicing in Los Angeles, California. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1790982858 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR |
| Sole proprietor | No |
| NPI issued | Jun 29, 2007 |
| Last updated in NPPES | Dec 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist, Hand Primary | 225XH1200X | 5942 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Graduation year | 1986 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Other Occupational Therapist, Hand providers in Los Angeles
- 1194999540
- 1265449979
- 1306299524
- 1427019595
- 1427551175
- 1639129745
- 1659821064
- 1780159087
- 1851546337
- 1114420239
- 1609089671
- 1659578813
All 30 Occupational Therapist, Hand providers in Los Angeles · All Occupational Therapist, Hand providers in California