Active NPI
Bonnie Hudson, OTR/L, CHT
- Hand Occupational Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT610
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 610 | CA | MD | Midwife |
| OT610 | CA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Orthopedic Specialists, Inc. | Current | Accepting new patients | |
| Synergy Orthopedic Specialists, Inc. | Current | 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.
-
- Specialist
- San Diego, CA
- NPI 1114282779
-
- Specialist
- Temecula, CA
- NPI 1194447888
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.