Organization Active NPI

Montana Rehabilitation Therapy

  • Hand Occupational Therapist
  • Ventura, CA
National Provider Identifier
1013059518
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT3863 Issued in CA
Legal business name
MONTANA REHABILITATION THERAPY
Practice address
3525 Loma Vista Rd
Suite D
Ventura, CA 93003-3101
Phone
(805) 648-1340
Fax
(805) 648-6013
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Steven McKay Botten
Title
Cfo
Phone
(805) 604-1924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X OT3863 CA Primary

Addresses

Primary practice location

3525 Loma Vista Rd
Suite D
Ventura, CA 93003-3101

Mailing address

2001 Solar Dr
Suite 215
Oxnard, CA 93036-2645
Phone (805) 604-1924

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ65339ZOtherCABLUE SHIELD

Other names 1

  • california hand therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
California Hand Therapy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2001 Solar Dr
Ste 215
Oxnard, CA 93036
Phone (805) 604-1924

3525 Loma Vista Rd
Ste D
Ventura, CA 93003
Phone (805) 648-1340

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013059518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SOLAR DR",
            "address_2": "SUITE 215",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362645",
            "telephone_number": "805-604-1924",
            "fax_number": "805-604-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 LOMA VISTA RD",
            "address_2": "SUITE D",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033101",
            "telephone_number": "805-648-1340",
            "fax_number": "805-648-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA REHABILITATION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOTTEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MCKAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "805-604-1924",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT3863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65339Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "california hand therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.