Healthcare Provider Details

I. General information

NPI: 1467361527
Provider Name (Legal Business Name): PEDIATRIC OCCUPATIONAL THERAPY BY THE SEA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 N COAST HIGHWAY 101 STE C
ENCINITAS CA
92024-3274
US

IV. Provider business mailing address

170 PHOEBE ST APT 1
ENCINITAS CA
92024-1465
US

V. Phone/Fax

Practice location:
  • Phone: 310-561-5173
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: LAURA THATCHER
Title or Position: OWNER
Credential: MOT, OTR/L
Phone: 310-561-5173