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

Spencer Ryan Ly

Individual provider Occupational Therapist · NPI 1518650951

Spencer Ryan Ly is an Occupational Therapist in Private Practice in Corona, California. Qualified in 2022, 4 years ago. Practices with Fairbanks and Power Physical Therapy Corp, a 54-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1561 E Ontario Ave Ste 101
Corona, CA 92881-6663
Phone: (951) 407-9233
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 24975 (CA)

Record details

NPI number1518650951
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 31, 2023
Last updated in NPPESAugust 11, 2024
Certification dateAugust 11, 2024
Mailing address1561 E Ontario Ave Ste 101, Corona, CA 92881-6663

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fairbanks And Power Physical Therapy Corp — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Corona