Jessica Pham, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT15244 Issued in CA

Practice address

201 N College Dr Ste 203
Santa Maria, CA 93454-4614

Phone

(805) 922-1724

Fax

(805) 922-2765

NPI assigned

Nov 19, 2015

Last updated

Feb 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Hand and Occupational Therapy IncGroup PAC ID 9133594237, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Hand & Occupational Therapy Inc

  • Occupational Therapist
  • Santa Maria, CA
  • NPI 1366157877
  Medicare reassignment Care Compare group NPD
• Coastal Hand and Occupational Therapy

  • Occupational Therapist
  • Santa Maria, CA
  • NPI 1083878854
  NPD (past)

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677369600000",
    "number": "1649644220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N COLLEGE DR",
            "address_2": "SUITE203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544614",
            "telephone_number": "805-922-1724",
            "fax_number": "805-922-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N COLLEGE DR STE 203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544614",
            "telephone_number": "805-922-1724",
            "fax_number": "805-922-2765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S Mary Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Nipomo",
            "state": "CA",
            "postal_code": "934447821",
            "country_code": "US",
            "telephone_number": "805-922-1724",
            "fax_number": "805-922-2765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2029 Village Ln Ste 207",
            "address_purpose": "LOCATION",
            "city": "Solvang",
            "state": "CA",
            "postal_code": "934632258",
            "country_code": "US",
            "telephone_number": "805-686-4642",
            "fax_number": "805-576-7961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JESSICA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT15244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lou Peterson, IMF
• John C Petitt, M.D
• Carol Petrini, RN, PHN
• Allison Pfeifer
• Judy Ann Pfeiffer, RN
• Minhha Thi Pham, RPH
• Regina Phelps, R.H.S.
• Katlin Phillips
• Sheila Duyka Phipps, R.PH.
• Michelle Phu

• Occupational Therapist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.