Individual provider Active NPI

Pangdee Her, OTR/L

  • Occupational Therapist
  • Modesto, CA
National Provider Identifier
1265873004
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10871 Issued in CA
Practice address
2633 W Rumble Rd
Modesto, CA 95350-0154
Phone
(209) 577-1001
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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 10871 CA Primary

Addresses

Primary practice location

2633 W Rumble Rd
Modesto, CA 95350-0154

Mailing address

4209 Snowfire Dr
Modesto, CA 95357-0898
Phone (209) 629-5289

Other practice location 1

4209 Snowfire Dr
Modesto, CA 95357-0898
Phone (209) 629-5289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1265873004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 SNOWFIRE DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953570898",
            "telephone_number": "209-629-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 W RUMBLE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500154",
            "telephone_number": "209-577-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4209 Snowfire Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953570898",
            "country_code": "US",
            "telephone_number": "209-629-5289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HER",
        "first_name": "PANGDEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2021-10-08",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "10871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.