Organization Active NPI

Rehabcare

  • Physical Disabilities Residential Treatment Facility
  • San Diego, CA
National Provider Identifier
1083091714
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
OT2615 Issued in CA
Legal business name
REHABCARE
Practice address
13075 Evening Creek Dr S
San Diego, CA 92128-8101
Phone
(858) 486-0410
Fax
(858) 486-0440
NPI assigned
May 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Miss Shiow-Shin Jessica Chen, OTR/L
Title
Occupational Therapist
Phone
(858) 386-2388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X OT2615 CA Primary

Addresses

Primary practice location

13075 Evening Creek Dr S
San Diego, CA 92128-8101

Mailing address

13075 Evening Creek Dr S
San Diego, CA 92128-8101
Phone (858) 486-0410

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1083091714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13075 EVENING CREEK DR S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921288101",
            "telephone_number": "858-486-0410",
            "fax_number": "858-486-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13075 EVENING CREEK DR S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921288101",
            "telephone_number": "858-486-0410",
            "fax_number": "858-486-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "SHIOW-SHIN",
        "authorized_official_middle_name": "JESSICA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "858-386-2388",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "OT2615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.