NPIMap

Organization Active NPI

Certified Hand Rehabilitation Center

  • Specialist
  • Danville, CA
National Provider Identifier
1508039868
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2879 Issued in CA
Legal business name
CERTIFIED HAND REHABILITATION CENTER
Practice address
760 San Ramon Valley Blvd
#100
Danville, CA 94526
Phone
(925) 743-8905
Fax
(925) 743-9614
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Serenity Sian Sayre, O.T.R/L,C.H.T.NPI 1700921780
Title
Occupational Therapist/Owner
Phone
(925) 683-2024

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 2879 CA Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 2879 CA

Addresses

Primary practice location

760 San Ramon Valley Blvd
#100
Danville, CA 94526

Mailing address

760 San Ramon Valley Blvd
#100
Danville, CA 94526
Phone (925) 743-8905

Other names 1

  • Certified Hand Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050517000796 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082655386 Receives reassigned benefits from 1 practitioner
Practice locations: Danville, CA

National Provider Directory

National Provider Directory

Locations

140 Town and Country Dr
Ste A
Danville, CA 94526
Phone (925) 743-8905

760 San Ramon Valley Blvd
Ste 100
Danville, CA 94526
Phone (925) 743-8905

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1508039868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 SAN RAMON VALLEY BLVD",
            "address_2": "#100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94526",
            "telephone_number": "925-743-8905",
            "fax_number": "925-743-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 SAN RAMON VALLEY BLVD",
            "address_2": "#100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94526",
            "telephone_number": "925-743-8905",
            "fax_number": "925-743-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED HAND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "SAYRE",
        "authorized_official_first_name": "SERENITY",
        "authorized_official_middle_name": "SIAN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "925-683-2024",
        "authorized_official_credential": "O.T.R/L,C.H.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "2879",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "2879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Certified Hand Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.