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PATRICIA ANN KOERNER O.T.
NPI 1578636445
Occupational Therapist - Neurorehabilitation in Tustin, CA

Active since November 16, 2006
17352 VINEWOOD AVE, TUSTIN, CA 92780(714) 730-1525(714) 730-0369 Get Directions Write a Review

NPPES record last updated: September 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Patricia Ann Koerner O.t. NPPES

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

PATRICIA ANN KOERNER O.T. (NPI 1578636445) is an individual neurorehabilitation provider in Tustin, California, licensed in California (OT650) and active in the NPI registry since November 2006. She is a graduate of Kansas City University Of Physicians And Surgeons (1986).

NPPES Registry Identity

NPI1578636445
Entity TypeIndividualFemale
Primary Taxonomy225XN1300X
Provider Legal NamePATRICIA ANN KOERNERCredential: O.T.
Location Address17352 VINEWOOD AVETustin, CA 92780-2551
Mailing Address17352 Vinewood AveTustin, CA 92780-2551 · (714) 730-1525 · Fax (714) 730-0369
Phone(714) 730-1525
Fax(714) 730-0369
Sole ProprietorYes
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 1986
Enumeration DateNovember 16, 2006
Last NPPES UpdateSeptember 16, 2018
✔ NPI 1578636445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOccupational Therapist · NeurorehabilitationRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XN1300X
License✔ Licensed in CA · OT650
Also ListedOccupational TherapistTaxonomy 225X00000X · License OT650 (CA)
Also ListedOccupational Therapist · HandTaxonomy 225XH1200X · License OT650 (CA)
17352 VINEWOOD AVE, Tustin, CA 92780
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Ann Koerner O.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608846878
PECOS Enrollment IDI20040727000886

Medicare Billing Reassignment

Medicare enrollment records show Patricia Koerner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Injury Recovery Center Inc.
Same address
Physical Therapist
17352 VINEWOOD AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1093889438 (714) 785-6573

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

THE INJURY RECOVERY CENTER INC.
Physical Therapist
17352 VINEWOOD AVE
TUSTIN, CA 92780
Orange County (714) 785-6573
MICHAEL JON KOERNER P.T.
Physical Therapist
17352 VINEWOOD AVE
TUSTIN, CA 92780
Orange County (714) 730-1525

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 Patricia Koerner's NPI number?

The NPI number for Patricia Koerner is 1578636445. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Patricia Koerner located?

Patricia Koerner practices at 17352 Vinewood Ave, Tustin, CA 92780. The listed phone number is (714) 730-1525.

What is Patricia Koerner's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Neurorehabilitation, with taxonomy code 225XN1300X.

Is Patricia Koerner enrolled in Medicare?

Yes. Patricia Koerner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patricia Koerner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Koerner reassigns Medicare benefits to The Injury Recovery Center Inc. (Tustin, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Koerner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Patricia Koerner was last updated on September 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.