Active NPI
Eileen Marie Hayes, OTR/L
- Occupational Therapist
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056005542
- Practice address
- VA Palo Alto Health Care System
3801 Miranda Avenue
Palo Alto, CA 94304 - Phone
- (650) 493-5000
- NPI assigned
- Dec 30, 2005
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056005542 | IL | Primary |
Addresses
Primary practice location
VA Palo Alto Health Care System
3801 Miranda Avenue
Palo Alto, CA 94304
Mailing address
460 Channing Ave Apt D
Palo Alto, CA 94301-2804
Phone (415) 971-4314
Other practice location 1
VA Palo Alto Health Care System
3801 Miranda Avenue
Palo Alto, CA 94304
Phone (650) 493-5000 ext. 64590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056005542 | Other | IL | OCCUPATIONAL THERAPIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056005542 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interface Rehab, Inc. | Current | Accepting new patients | |
| Interface Rehab, Inc. | Current | Accepting new patients |
Locations
2400 W Acacia Ave
Hemet, CA 92545
Phone (951) 492-2841
774 S Placentia Ave
Ste 200
Placentia, CA 92870
Phone (714) 646-8300
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.
-
- Assisted Living Facility
- Healdsburg, CA
- NPI 1053178244
-
- Physical Disabilities Residential Treatment Facility
- Placentia, CA
- NPI 1306960851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1649257643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 CHANNING AVE APT D",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012804",
"telephone_number": "415-971-4314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA PALO ALTO HEALTH CARE SYSTEM",
"address_2": "3801 MIRANDA AVENUE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-493-5000"
}
],
"practiceLocations": [
{
"address_1": "VA Palo Alto Health Care System",
"address_2": "3801 Miranda Avenue",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "94304",
"country_code": "US",
"telephone_number": "650-493-5000 x64590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYES",
"first_name": "EILEEN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056005542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST",
"identifier": "056005542",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.