Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Pediatric Therapy, PC

Organization Pediatric Occupational Therapist · NPI 1154211563

Pine Pediatric Therapy, PC is a Pediatric Occupational Therapist in San Diego, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9932 Kika Ct Apt 3212
San Diego, CA 92129-5057
Phone: (619) 928-2154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X

Record details

NPI number1154211563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Lee — Ceo · (619) 928-2154
NPI enumeratedJuly 7, 2025
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address9932 Kika Ct Apt 3212, San Diego, CA 92129-5057

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