Individual provider Active NPI

Jessica Terumi Uyehara, OTR

  • Occupational Therapist
  • Thousand Oaks, CA
National Provider Identifier
1104386382
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24923 Issued in CA
Practice address
101 Hodencamp Rd Ste 100
Thousand Oaks, CA 91360-5831
Phone
(805) 495-0516
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Occupational Therapist 225X00000X 24923 CA Primary

Addresses

Primary practice location

101 Hodencamp Rd Ste 100
Thousand Oaks, CA 91360-5831

Mailing address

101 Hodencammp Rd #100
Thousand Oaks, CA 91360
Phone (805) 495-0516

Other practice location 1

701 W Kimberly Ave Ste 245
Placentia, CA 92870-6345
Phone (714) 203-6595

Other practice location 2

701 W Kimberly Ave Ste 245
Placentia, CA 92870-6345
Phone (714) 203-6595

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Bloombh.com
CONNECT URL handwristelbowphysicaltherapy.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221004150 CA Practitioner - Occupational Therapist in Private Practice 2860836483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Hand and Upper Extremity Center IncGroup PAC ID 4587558341, 7 clinicians

Practice addresses (Care Compare)

101 Hodencamp Rd
Suite 100
Thousand Oaks, CA 91360-5831
Phone (805) 495-0516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24923CAMDReflexologist
14734CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Hand & Upper Extremity Center Inc Occupational Therapist CurrentSince Jan 29, 2024 Accepting new patients
The Hand & Upper Extremity Center Inc Occupational Therapist CurrentSince Jan 29, 2024 Accepting new patients

Locations

3695 Alamo St
Ste 205
Simi Valley, CA 93063
Phone (805) 520-7990

101 Hodencamp Rd
Ste 100
Thousand Oaks, CA 91360
Phone (805) 495-0516

Organizations & group practices 2

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1104386382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HODENCAMMP RD #100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-495-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HODENCAMP RD STE 100",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605831",
            "telephone_number": "805-495-0516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W Kimberly Ave Ste 245",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928706345",
            "country_code": "US",
            "telephone_number": "714-203-6595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W Kimberly Ave Ste 245",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928706345",
            "country_code": "US",
            "telephone_number": "714-203-6595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UYEHARA",
        "first_name": "JESSICA",
        "middle_name": "TERUMI",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bloombh.com",
            "affiliation": "N",
            "endpointDescription": "Bloombh.com",
            "address_1": "701 W Kimberly Ave Ste 245",
            "city": "Placentia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928706345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "handwristelbowphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "handwristelbowphysicaltherapy.com",
            "address_1": "101 Hodencamp Rd Ste 100",
            "city": "Thousand Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913605831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.