Active NPI
Adaina M Hansen, OTR
- Physical Rehabilitation Occupational Therapist
- Oceanside, CA
National Provider Identifier
1477869394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 916618
- Practice address
- 2111 S El Camino Real
Ste 200
Oceanside, CA 92054-9000 - Phone
- (760) 729-5433
- NPI assigned
- Aug 30, 2010
- 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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 916618 | CA | Primary |
Addresses
Primary practice location
2111 S El Camino Real
Ste 200
Oceanside, CA 92054-9000
Mailing address
2111 S El Camino Real
Ste 200
Oceanside, CA 92054-9000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation Physical Therapy CA PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2675 | CA | MD | Cognitive & Behavioral Psychologist |
| 916618 | CA | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Physical Therapy Ca PC | Current | Accepting new patients | |
| Active Life Rehab, Inc. | Past | Accepting new patients |
Locations
16868 Via del Campo Ct
Ste 100
San Diego, CA 92127
Phone (858) 239-8469
95 Duesenberg Dr
Westlake Village, CA 91362
Phone (805) 413-3300
7 Carnegie Plz
Cherry Hill, NJ 08003
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.
-
- Physical Therapist
- San Diego, CA
- NPI 1972330298
-
- Geriatric Physical Therapist
- Escondido, CA
- NPI 1346295805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1477869394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 S EL CAMINO REAL",
"address_2": "STE 200",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920549000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 S EL CAMINO REAL",
"address_2": "STE 200",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920549000",
"telephone_number": "760-729-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "ADAINA",
"middle_name": "M",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-30",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CA",
"license": "916618",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation Physical Therapy CA PC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "16868 Via Del Campo Ct Ste 100",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921271772",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.