Thomas Hacku, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

14892 Issued in CA

Practice address

222 W 39TH Ave
San Mateo, CA 94403-4364

Phone

(650) 573-2472

NPI assigned

Oct 30, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1578935490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 WASHINGTON ST APT 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151804",
            "telephone_number": "203-623-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 39TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034364",
            "telephone_number": "650-573-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKU",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "14892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Guymon, BA
• Cyerra Columba Guzman
• Maria de la Paz Guzman, P.A-C
• Vrenelli Guzman
• Karen Lea Hackett, PHN
• Evelyn Victoria Haddad, M.D.
• Bill Haddock
• Christina Lee Hadley, PPS CREDENTIAL
• Angela Hagerman
• Hake Kokua, Inc.

• Occupational Therapist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.