Active NPI
Hands on Rehab & Aquatics
- Physical Therapist
- Newport Beach, CA
National Provider Identifier
1356589816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24399
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzanne Judd Borgquist, MPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24399 | CA | Primary |
| Ergonomics Physical Therapist | 2251E1200X | PT24399 | CA | |
| Geriatric Physical Therapist | 2251G0304X | PT24399 | CA | |
| Hand Physical Therapist | 2251H1200X | PT24399 | CA | |
| Sports Physical Therapist | 2251S0007X | PT24399 | CA | |
| Orthopedic Physical Therapist | 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 identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801801295 | Other | CA | NPI |
| PT24399 | Other | CA | PT LICENSE NUMBER |
Other names 1
- Hands On Rehab, Eastbluff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- Aliso Viejo, CA
- NPI 1235478298
CA, Physical Therapist
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1801801295",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE NUMBER",
"identifier": "PT24399",
"state": "CA"
}
],
"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.