Therapeutic Hands Orthopedic Home Physical Therapy Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT21745 Issued in CA

Legal business name

THERAPEUTIC HANDS ORTHOPEDIC HOME PHYSICAL THERAPY INC

Practice address

11422 Holly Fern CT.
San Diego, CA 92131

Phone

(858) 335-5658

Fax

(858) 578-5759

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Eytan Erez, PTNPI 1215906631

Title

President

Phone

(858) 335-5658

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eytan Erez, PT

  • Specialist
  • San Diego, CA
  • NPI 1215906631
  Medicare reassignment NPD Authorized official
• Megan Barnard, O.T.R.

  • Hand Occupational Therapist
  • Chula Vista, CA
  • NPI 1518920487
  Medicare reassignment NPD
• Prima Bernabe Bernabe, MPT

  • Physical Therapist
  • San Diego, CA
  • NPI 1669568374
  Medicare reassignment NPD

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1205966520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11422 HOLLY FERN CT.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92131",
            "telephone_number": "858-335-5658",
            "fax_number": "858-578-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11422 HOLLY FERN CT.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92131",
            "telephone_number": "858-335-5658",
            "fax_number": "858-578-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC HANDS ORTHOPEDIC HOME PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "EREZ",
        "authorized_official_first_name": "EYTAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-335-5658",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT21745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W21253",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.