Individual provider Active NPI

Carrie Marie Hill, M.A., O.T.R./L.

  • Occupational Therapist
  • Ridgecrest, CA
National Provider Identifier
1205126356
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11522 Issued in CA
Practice address
935 E Ridgecrest Blvd
Ridgecrest, CA 93555-4368
Phone
(760) 371-1411
Fax
(760) 371-1410
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11522 CA Primary

Addresses

Primary practice location

935 E Ridgecrest Blvd
Ridgecrest, CA 93555-4368

Mailing address

935 East Ridgecrest Boulevard
Ridgecrest, CA 93555
Phone (760) 371-1411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014001675 CA Practitioner - Occupational Therapist in Private Practice 0345514816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

935 E Ridgecrest Blvd
Ridgecrest, CA 93555-4368
Phone (760) 371-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
11522CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. Occupational Therapist Current Accepting new patients
Select CS Physical Therapy, P.C. Occupational Therapist CurrentSince Jul 1, 2021 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Jul 1, 2021 Accepting new patients
Select Cal Physical Therapy PC Occupational Therapist CurrentSince Jun 13, 2023 Accepting new patients
Select Cal Physical Therapy PC CurrentSince Jun 13, 2023 Accepting new patients
Select Cal Physical Therapy PC Occupational Therapist Current Accepting new patients
Select CS Physical Therapy, P.C. Occupational Therapist Past Accepting new patients

Locations

10540 Talbert Ave
Ste 250W
Fountain Vly, CA 92708
Phone (714) 964-0727

1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466

935 E Ridgecrest Blvd
Ridgecrest, CA 93555
Phone (760) 371-1411

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

Organizations & group practices 7

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1205126356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 EAST RIDGECREST BOULEVARD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "93555",
            "telephone_number": "760-371-1411",
            "fax_number": "760-371-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 E RIDGECREST BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935554368",
            "telephone_number": "760-371-1411",
            "fax_number": "760-371-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "CARRIE",
        "middle_name": "MARIE",
        "credential": "M.A., O.T.R./L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.