Healthcare Provider Details

I. General information

NPI: 1063125086
Provider Name (Legal Business Name): ALICIA STEARNS MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2023
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 PASTEUR STE 100
IRVINE CA
92618-3813
US

IV. Provider business mailing address

2767 DE SOTO AVE
COSTA MESA CA
92626-5605
US

V. Phone/Fax

Practice location:
  • Phone: 949-788-9236
  • Fax:
Mailing address:
  • Phone: 415-599-6265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number24515
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: