Individual provider Active NPI

Jeffrey W Arnold, MOT

  • Occupational Therapist
  • Solvang, CA
National Provider Identifier
1417587338
Registry record updated Feb 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT22074 Issued in CA
Practice address
2029 Village LN Ste 207
Solvang, CA 93463-2258
Phone
(805) 686-4642
Fax
(805) 576-7961
NPI assigned
Jan 20, 2020
Last updated
Feb 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 13043 NC
Occupational Therapist 225X00000X OT22074 CA Primary

Addresses

Primary practice location

2029 Village LN Ste 207
Solvang, CA 93463-2258

Mailing address

5 Broadview Dr
Asheville, NC 28803-1005
Phone (805) 748-5737

Other practice location 1

150 S Mary Ave Ste 1
Nipomo, CA 93444-7821
Phone (805) 929-3230

Other practice location 2

201 N College Dr Ste 203
Santa Maria, CA 93454-4614
Phone (805) 922-1724

Other names 1

  • Jeff W Arnold Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526002348 CA Practitioner - Occupational Therapist in Private Practice 5395144224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Hand and Occupational Therapy IncGroup PAC ID 9133594237, 4 clinicians

Practice addresses (Care Compare)

201 N College Dr
Suite 203
Santa Maria, CA 93454-4614
Phone (805) 922-1724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13043NCMDProsthodontist
OT22074CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Hand & Occupational Therapy Inc Occupational Therapist CurrentSince Jan 1, 2023 Accepting new patients
Coastal Hand and Occupational Therapy Occupational Therapist PastSince Jan 22, 2023 Accepting new patients

Locations

150 S Mary Ave
Ste 1
Nipomo, CA 93444
Phone (805) 929-3230

1111 S Broadway
Ste 201
Santa Maria, CA 93454

201 N College Dr
Ste 203
Santa Maria, CA 93454
Phone (805) 922-1724

2029 Village Ln
Ste 207
Solvang, CA 93463
Phone (805) 686-4642

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1417587338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BROADVIEW DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031005",
            "telephone_number": "805-748-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 VILLAGE LN STE 207",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632258",
            "telephone_number": "805-686-4642",
            "fax_number": "805-576-7961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S Mary Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Nipomo",
            "state": "CA",
            "postal_code": "934447821",
            "country_code": "US",
            "telephone_number": "805-929-3230",
            "fax_number": "805-929-3232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N College Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934544614",
            "country_code": "US",
            "telephone_number": "805-922-1724",
            "fax_number": "805-922-2765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-20",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13043",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT22074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "ARNOLD",
            "middle_name": "W",
            "credential": "MOT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Solvang, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2023; 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.