Individual provider Active NPI

Pradipta Kumar Sahu, MS, OTR, CHT

  • Hand Occupational Therapist
  • Lakewood, CA
National Provider Identifier
1053564872
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
19391 Issued in CA
Practice address
3650 South St Ste 204
Lakewood, CA 90712-1521
Phone
(562) 444-0100
Fax
(855) 608-0788
NPI assigned
Oct 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 110584 TX
Hand Occupational Therapist 225XH1200X 0119007291 VA
Hand Occupational Therapist 225XH1200X 19391 CA Primary

Addresses

Primary practice location

3650 South St Ste 204
Lakewood, CA 90712-1521

Mailing address

3650 South St Ste 204
Lakewood, CA 90712-1521
Phone (562) 444-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
110584TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Hand Therapy Hand CurrentSince Apr 2, 2018 Accepting new patients

Locations

3650 South St
Ste 204
Lakewood, CA 90712
Phone (562) 444-0100

812 Amherst St
Ste 101
Winchester, VA 22601
Phone (540) 722-0220

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1053564872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 204",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121521",
            "telephone_number": "562-444-0100",
            "fax_number": "855-608-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 204",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121521",
            "telephone_number": "562-444-0100",
            "fax_number": "855-608-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHU",
        "first_name": "PRADIPTA",
        "middle_name": "KUMAR",
        "credential": "MS, OTR, CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-23",
        "last_updated": "2020-10-06",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TX",
            "license": "110584",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "VA",
            "license": "0119007291",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "19391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.