KIMMY PHAN
NPI 1043843816
Occupational Therapist in Garden Grove, CA

Active since February 19, 2020
11911 WEST ST, GARDEN GROVE, CA 92840(714) 467-9816 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 1, 2021, Feb 19, 2020 (2 updates tracked since 2020).

About Kimmy Phan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMMY PHAN (NPI 1043843816) is an individual occupational therapist in Garden Grove, California, licensed in California (19050) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1043843816
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKIMMY PHAN
Location Address11911 WEST STGarden Grove, CA 92840-2552
Mailing Address11911 West StGarden Grove, CA 92840-2552 · (714) 467-9816
Sole ProprietorYes
Enumeration DateFebruary 19, 2020
Last NPPES UpdateNovember 1, 20212 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
NPI 1043843816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in CA · 19050
Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

11911 WEST ST, Garden Grove, CA 92840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimmy Phan's NPI number?

The NPI number for Kimmy Phan is 1043843816. It was assigned to this individual provider in the NPPES registry on February 19, 2020.

Where is Kimmy Phan located?

Kimmy Phan practices at 11911 West St, Garden Grove, CA 92840. The listed phone number is (714) 467-9816.

What is Kimmy Phan's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Kimmy Phan was last updated on November 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.