MEDICARE: CMC OCCUPATIONAL THERAPY, A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1740149327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CMC OCCUPATIONAL THERAPY, A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	1670 WHIGHAM PL
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92019-1056
Country	:	US
Telephone Number	:	619-922-6408
Fax Number	:

Provider Business Practice Location Address
First Line	:	1670 WHIGHAM PL
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92019-1056
Country	:	US
Telephone Number	:	619-922-6408
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	CYNTHIA MCMAHON
Credential	:	MS, OTR/L
Telephone Number	:	619-922-6408

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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