IndividualActive
Connie Knudson, OTR/L, CLT
NPI 1669860649 · Occupational Therapist · Lake Elsinore, CA
Provider details
- NPI number
- 1669860649
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L, CLT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 863 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15046 Ficus St
Lake Elsinore, CA 92530-7355
Phone: (951) 264-8584
Street-level locationGet directions
Mailing address
15046 Ficus St
Lake Elsinore, CA 92530-7355
Registry dates
- Enumerated
- 2014-12-29
- Last updated
- 2014-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.