Organization Active NPI

Humboldt Hand Therapy Inc.

  • Occupational Therapist
  • Arcata, CA
National Provider Identifier
1164235503
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
HUMBOLDT HAND THERAPY INC.
Practice address
670 9TH St Ste 4
Arcata, CA 95521-6248
Phone
(707) 232-5452
Fax
(707) 306-7112
NPI assigned
Jan 29, 2025
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Primo Bonilla, OTR/L, HT, PAMNPI 1538936521
Title
Owner
Phone
(707) 232-5452

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

670 9TH St Ste 4
Arcata, CA 95521-6248

Mailing address

670 9TH St Ste 4
Arcata, CA 95521-6248
Phone (707) 232-5452

Other names 3

  • Humboldt Hand Therapy Other name
  • Humboldt Hand Therapy & Wellness Center Other name
  • Humboldt Hand Therapy and Wellness Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250815004495 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6103325253 Receives reassigned benefits from 1 practitioner
Practice locations: Arcata, CA
O20251029001387 CA DME Supplier - Independently-Practicing Occupational Therapist 6103325253 Practice locations: Arcata, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1164235503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 9TH ST STE 4",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216248",
            "telephone_number": "707-232-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 9TH ST STE 4",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216248",
            "telephone_number": "707-232-5452",
            "fax_number": "707-306-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT HAND THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "PRIMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-232-5452",
        "authorized_official_credential": "OTR/L, HT, PAM"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humboldt Hand Therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Humboldt Hand Therapy & Wellness Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Humboldt Hand Therapy and Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.