Organization Active NPI

Hand Rehab Pros Antelope Valley

  • Hand Occupational Therapist
  • Palmdale, CA
National Provider Identifier
1104383074
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
HAND REHAB PROS ANTELOPE VALLEY
Practice address
38925 Trade Center Dr Unit H
Palmdale, CA 93551-3655
Phone
(661) 414-4031
NPI assigned
Feb 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Hueyru Sevidal, OTR/L, CHTNPI 1770984643
Title
Owner
Phone
(661) 414-4031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

38925 Trade Center Dr Unit H
Palmdale, CA 93551-3655

Mailing address

38925 Trade Center Dr Unit H
Palmdale, CA 93551-3655
Phone (661) 414-4031

Other names 1

  • Hand Rehab Pros Antelope Valley Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190822002476 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2062740434 Receives reassigned benefits from 1 practitioner
Practice locations: Palmdale, CA

National Provider Directory

National Provider Directory

Locations

1037 E Palmdale Blvd
Ste 201
Palmdale, CA 93550
Phone (661) 417-4268

Practitioners & affiliated clinicians

Practitioners 1

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": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1104383074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38925 TRADE CENTER DR UNIT H",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513655",
            "telephone_number": "661-414-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38925 TRADE CENTER DR UNIT H",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513655",
            "telephone_number": "661-414-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND REHAB PROS ANTELOPE VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "SEVIDAL",
        "authorized_official_first_name": "HUEYRU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-414-4031",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hand Rehab Pros Antelope Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hand Rehab Pros Antelope Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.