NPIMap

Organization Active NPI

Hands on Rehab & Aquatics

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1356589816
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24399 Issued in CA
Legal business name
HANDS ON REHAB & AQUATICS
Practice address
1601 Dove St. Suite 242
Newport Beach, CA 92660
Phone
(949) 222-6444
Fax
(949) 222-6447
NPI assigned
Jan 21, 2009
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Suzanne Judd Borgquist, MPTNPI 1801801295
Title
Owner/MPT
Phone
(714) 847-8751

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT24399 CA Primary
Ergonomics Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251E1200X PT24399 CA
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X PT24399 CA
Hand Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251H1200X PT24399 CA
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X PT24399 CA
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X PT24399 CA

Addresses

Primary practice location

1601 Dove St. Suite 242
Newport Beach, CA 92660

Mailing address

7921 Professional Circle
Huntington Beach, CA 92648
Phone (714) 871-8751

Other names 1

  • Hands On Rehab, Eastbluff Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100601000598 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264561257 Receives reassigned benefits from 12 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

1601 Dove St
Ste 130
Newport Beach, CA 92660

1601 Dove St
Ste 242
Newport Beach, CA 92660
Phone (714) 847-8751

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1356589816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7921 PROFESSIONAL CIRCLE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "714-871-8751",
            "fax_number": "714-847-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST. SUITE 242",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-222-6444",
            "fax_number": "949-222-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS ON REHAB & AQUATICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "BORGQUIST",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "JUDD",
        "authorized_official_title_or_position": "OWNER/MPT",
        "authorized_official_telephone_number": "714-847-8751",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24399",
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "PT24399",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT24399",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": "CA",
            "license": "PT24399",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT24399",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT24399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hands On Rehab, Eastbluff",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.