Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emilio Villavicencio, MSOT, OTR/L, CNS

Individual provider Occupational Therapist · NPI 1225626914

Emilio Villavicencio, MSOT, OTR/L, CNS is an Occupational Therapist in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.

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Practice location Address checks out

424 Enclave Cir Apt 204
Costa Mesa, CA 92626-8271
Phone: (760) 791-6763
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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 OT21609 (CA)

Record details

NPI number1225626914
Entity typeIndividual (Type 1)
GenderMale
Credentials MSOT , OTR/L , CNS
Sole proprietorYes
NPI enumeratedJanuary 7, 2021
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021

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