NPIMap

Organization Active NPI

Kimberly J Evans Otr L CHT Professional Corporation

Doing business as Evans Hand Therapy

  • Occupational Therapist
  • Temecula, CA
National Provider Identifier
1346001005
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
KIMBERLY J EVANS OTR L CHT PROFESSIONAL CORPORATION
Doing business as
Evans Hand Therapy
Practice address
41593 Winchester Rd Ste 216
Temecula, CA 92590-4841
Phone
(714) 831-5599
NPI assigned
Jan 19, 2024
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
KIMBERLY J EVANS OTR L CHT PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Kimberly Joyce EvansNPI 1346541679
Title
Ceo
Phone
(951) 764-4489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

41593 Winchester Rd Ste 216
Temecula, CA 92590-4841

Mailing address

817 S Anaheim Blvd Unit 103
Anaheim, CA 92805-5295

Other names 1

  • Evans Hand Therapy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170710000105 CA Part B Supplier - Clinic/Group Practice 4183993066 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orange, CA; Temecula, CA
O20240325002685 CA DME Supplier - Independently-Practicing Occupational Therapist 4183993066 Practice locations: Temecula, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kimberly J Evans Otrl2 organizations share this tax ID, including this one
Part of
Kimberly J Evans Otrl

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1740 W Katella Ave
Ste D
Orange, CA 92867
Phone (714) 831-5599

27403 Ynez Rd
Ste 109
Temecula, CA 92591

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1346001005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S ANAHEIM BLVD UNIT 103",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41593 WINCHESTER RD STE 216",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904841",
            "telephone_number": "714-831-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY J EVANS OTR L CHT PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIMBERLY J EVANS OTR L CHT PROFESSIONAL CORPORATION",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-764-4489"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Hand Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evans Hand Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.