Active NPI
Hand Rehab Pros Antelope Valley
- Hand Occupational Therapist
- Palmdale, CA
National Provider Identifier
1104383074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hueyru Sevidal, OTR/L, CHT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Hand Occupational Therapist
- Valencia, CA
- NPI 1770984643
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.