Healthcare Provider Details

I. General information

NPI: 1386883510
Provider Name (Legal Business Name): HEAD TO TOE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 01/16/2025
Certification Date: 08/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E. 4TH STREET SUITE 200
SANTA ANA CA
92701-5193
US

IV. Provider business mailing address

1600 E. 4TH STREET SUITE 200
SANTA ANA CA
92701-5193
US

V. Phone/Fax

Practice location:
  • Phone: 714-656-2371
  • Fax: 949-608-1549
Mailing address:
  • Phone: 714-656-2371
  • Fax: 949-608-1549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT29111
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT2654
License Number StateCA

VIII. Authorized Official

Name: MRS. IRENE WINKLER
Title or Position: CEO
Credential: OTR/L
Phone: 714-654-9328