Individual provider Active NPI

Wayne D Chase, OT

  • Occupational Therapist
  • Temecula, CA
National Provider Identifier
1366429623
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT6711 Issued in CA
Practice address
27450 Ynez Rd
Ste 120
Temecula, CA 92591-4671
Phone
(951) 695-5144
Fax
(951) 695-9345
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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 OT6711 CA Primary

Addresses

Primary practice location

27450 Ynez Rd
Ste 120
Temecula, CA 92591-4671

Mailing address

40074 Cannes CT
Temecula, CA 92591-1634
Phone (951) 699-3860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421001886 CA Practitioner - Occupational Therapist in Private Practice 1355337783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rancho Physical Therapy IncGroup PAC ID 2365346491, 29 clinicians

Practice addresses (Care Compare)

26881 Jefferson Ave
Suite B
Murrieta, CA 92562-9180
Phone (951) 698-7720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Physical Therapy, Inc. CurrentSince Aug 1, 2008 Accepting new patients

Locations

26881 Jefferson Ave
Ste B
Murrieta, CA 92562
Phone (951) 698-7720

25150 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 698-7720

24630 Washington Ave
Ste 200
Murrieta, CA 92562

11276 5th St
Ste 400
Rch Cucamonga, CA 91730
Phone (909) 481-0437

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1366429623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40074 CANNES CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925911634",
            "telephone_number": "951-699-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD",
            "address_2": "STE 120",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914671",
            "telephone_number": "951-695-5144",
            "fax_number": "951-695-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "WAYNE",
        "middle_name": "D",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT6711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.