Individual provider Active NPI

Bonnie Hudson, OTR/L, CHT

  • Hand Occupational Therapist
  • San Diego, CA
National Provider Identifier
1447260252
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT610 Issued in CA
Practice address
9040 Friars Rd Ste 400
San Diego, CA 92108-5862
Phone
(619) 283-9610
Fax
(619) 283-9692
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT610 CA Primary

Addresses

Primary practice location

9040 Friars Rd Ste 400
San Diego, CA 92108-5862

Mailing address

4669 Leathers St
San Diego, CA 92117-2435
Phone (858) 483-2866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191125002109 CA Practitioner - Occupational Therapist in Private Practice 2062845472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Orthopedic Specialists IncGroup PAC ID 0941450498, 66 clinicians

Practice addresses (Care Compare)

4445 Eastgate Mall
Suite 103
San Diego, CA 92121-1979
Phone (858) 450-7118

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
610CAMDMidwife
OT610CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Orthopedic Specialists, Inc. CurrentSince Sep 30, 2019 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Sep 30, 2019 Accepting new patients

Locations

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

8388 Parkway Dr
La Mesa, CA 91942
Phone (619) 439-6878

4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

7220 Trade St
Ste 190
San Diego, CA 92121
Phone (858) 450-7118

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447260252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4669 LEATHERS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921172435",
            "telephone_number": "858-483-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 FRIARS RD STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085862",
            "telephone_number": "619-283-9610",
            "fax_number": "619-283-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "BONNIE",
        "name_prefix": "Ms.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.