Individual provider · Type 1 NPI

Nikita Tulshidas Korgaonkar, OTR/L

Occupational Therapist · Los Angeles, CA

NPI number 1750219259 Active

Practice location

3200 Malabar St
Los Angeles, CA 90063-4021

Mailing address

14584 S Normandie Ave
Gardena, CA 90247-2452

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X28285 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1750219259

Nikita Tulshidas Korgaonkar, OTR/L's National Provider Identifier is 1750219259, issued on May 13, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Los Angeles, CA. The record was last updated on May 13, 2026.