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 provides Pediatric Occupational Therapist services 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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