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

ED A Detels, OT

Individual provider Occupational Therapist · NPI 1427033604

ED A Detels, OT is an Occupational Therapist in Private Practice in Newport Beach, California. Qualified in 1996, 30 years ago. Practices with California Rehabilitation and Sports Therapy a California Physical The, a 181-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2005
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

200 Newport Center Dr #213
Newport Beach, CA 92660-7501
Phone: (949) 644-1322
Fax: (949) 644-0316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT1096 (CA)

Record details

NPI number1427033604
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedDecember 12, 2005
Last updated in NPPESOctober 18, 2012
Mailing address200 Newport Center Dr, 213, Newport Beach, CA 92660-7501

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice California Rehabilitation And Sports Therapy A California Physical The — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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