Organization Active NPI

Progressive Occupational Therapy Services Inc

  • Occupational Therapist
  • Walnut, CA
National Provider Identifier
1497938765
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PROGRESSIVE OCCUPATIONAL THERAPY SERVICES INC
Practice address
19610 Avenida del Campo
Walnut, CA 91789-1608
Phone
(562) 618-7708
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Ferdinand Villanueva, OTRNPI 1932208477
Title
President
Phone
(562) 618-7708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

19610 Avenida del Campo
Walnut, CA 91789-1608

Mailing address

19610 Avenida del Campo
Walnut, CA 91789-1608
Phone (562) 618-7708

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080124000320 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547342974 Receives reassigned benefits from 1 practitioner
Practice locations: Rosemead, CA

National Provider Directory

National Provider Directory

Locations

2630 San Gabriel Blvd
Ste 103
Rosemead, CA 91770
Phone (562) 618-7708

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1497938765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19610 AVENIDA DEL CAMPO",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891608",
            "telephone_number": "562-618-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19610 AVENIDA DEL CAMPO",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891608",
            "telephone_number": "562-618-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE OCCUPATIONAL THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "FERDINAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-618-7708",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.

Verify at the official NPI Registry.