MS. PATRICE ANNIE UDO OTD
NPI 1053928291
Occupational Therapist in San Bernardino, CA

Active since September 30, 2020Accepts Medicare Assignment
1845 BUSINESS CENTER DR STE 127, SAN BERNARDINO, CA 92408(909) 890-9030(909) 890-4393 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2023, Jan 25, 2022, Apr 26, 2021 and 2 more (5 updates tracked since 2020).

About Ms. Patrice Annie Udo Otd NPPES

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

MS. PATRICE ANNIE UDO OTD (NPI 1053928291) is an individual occupational therapist in San Bernardino, California, licensed in California (438578) and active in the NPI registry since September 2020. She maintains a secondary practice location in Riverside and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053928291
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMS. PATRICE ANNIE UDOCredential: OTD
Location Address1845 BUSINESS CENTER DR STE 127San Bernardino, CA 92408-3434
Mailing Address1845 Business Center Dr Ste 127San Bernardino, CA 92408-3434 · (909) 890-9030 · Fax (909) 890-4393
Fax(909) 890-4393
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 30, 2020
Last NPPES UpdateMay 17, 20235 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
NPI 1053928291 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 · 438578
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.
1845 BUSINESS CENTER DR STE 127, San Bernardino, CA 92408

Secondary Practice Location 1

Location 13400 Central Ave Ste 145Riverside, CA 92506-2161 · Phone (951) 297-3399 · Fax (951) 297-3404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Patrice Annie Udo Otd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335558113
PECOS Enrollment IDI20210506002848

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1845 BUSINESS CENTER DR STE 127
SAN BERNARDINO, CA 92408
Physical Therapist
1845 BUSINESS CENTER DR STE 127
SAN BERNARDINO, CA 92408
Physical Therapist
1845 BUSINESS CENTER DR STE 127
SAN BERNARDINO, CA 92408
Occupational Therapist
1845 BUSINESS CENTER DR STE 127
SAN BERNARDINO, CA 92408

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 Patrice Udo's NPI number?

The NPI number for Patrice Udo is 1053928291. It was assigned to this individual provider in the NPPES registry on September 30, 2020.

Where is Patrice Udo located?

Patrice Udo practices at 1845 Business Center Dr Ste 127, San Bernardino, CA 92408. The listed phone number is (909) 890-9030.

What is Patrice Udo's specialty?

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

Is Patrice Udo enrolled in Medicare?

Yes. Patrice Udo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Patrice Udo was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.