Healthcare Provider Details

I. General information

NPI: 1710602628
Provider Name (Legal Business Name): EMPOWER NEUROREHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2022
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8996 MIRAMAR RD STE 301
SAN DIEGO CA
92126-4463
US

IV. Provider business mailing address

8996 MIRAMAR RD STE 301
SAN DIEGO CA
92126-4463
US

V. Phone/Fax

Practice location:
  • Phone: 760-688-0601
  • Fax: 760-705-1331
Mailing address:
  • Phone: 760-688-0601
  • Fax: 760-705-1331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. KATIE BELL
Title or Position: CO-OWNER, OCCUPATIONAL THERAPIST
Credential: OTD, OTR/L, CBIS
Phone: 760-688-0601