Organization Active NPI

Meridian Hand Therapy Inc

  • Hand Occupational Therapist
  • Thousand Oaks, CA
National Provider Identifier
1053395186
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
MERIDIAN HAND THERAPY INC
Practice address
550 Saint Charles Dr
Suite 100
Thousand Oaks, CA 91360-3951
Phone
(805) 449-1125
Fax
(805) 449-4113
NPI assigned
Dec 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Lisa Barry, OTR
Title
Owner
Phone
(805) 449-1125

Specialties & licenses 1

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

Addresses

Primary practice location

550 Saint Charles Dr
Suite 100
Thousand Oaks, CA 91360-3951

Mailing address

550 Saint Charles Dr
Suite 100
Thousand Oaks, CA 91360-3951
Phone (805) 449-1125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050920001362 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456385368 Receives reassigned benefits from 12 practitioners
Practice locations: Northridge, CA; Thousand Oaks, CA; Westlake Village, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Meridian Hand Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

18911 Nordhoff St
Ste 37
Northridge, CA 91324
Phone (818) 435-2800

550 Saint Charles Dr
Ste 100
Thousand Oaks, CA 91360
Phone (805) 449-1125

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1053395186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SAINT CHARLES DR",
            "address_2": "SUITE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603951",
            "telephone_number": "805-449-1125",
            "fax_number": "805-449-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SAINT CHARLES DR",
            "address_2": "SUITE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603951",
            "telephone_number": "805-449-1125",
            "fax_number": "805-449-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HAND THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-449-1125",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.