NPIMap

Organization Active NPI

Arizona Hand and Physical Rehab LLC

  • Hand Occupational Therapist
  • Prescott, AZ
National Provider Identifier
1659549194
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
ARIZONA HAND AND PHYSICAL REHAB LLC
Practice address
3111 Clearwater Dr. Suite C
Prescott, AZ 86305
Phone
(928) 777-9890
Fax
(928) 777-9891
NPI assigned
Feb 19, 2008
Last updated
Nov 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Victoria Namihas, OT, CHT
Title
Therapist/Owner
Phone
(928) 777-9890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X NU Primary

Addresses

Primary practice location

3111 Clearwater Dr. Suite C
Prescott, AZ 86305

Mailing address

3111 Clearwater Dr. Suite C
Prescott, AZ 86305
Phone (928) 777-9890

Other identifiers 1

IdentifierTypeStateIssuer
957582MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080307000023 AZ Part B Supplier - Clinic/Group Practice 6800971441 Receives reassigned benefits from 7 practitioners
Practice locations: Prescott, AZ; Prescott Valley, AZ; Scottsdale, AZ
O20100930054454 AZ DME Supplier - Independently-Practicing Occupational Therapist 6800971441 Practice locations: Prescott, AZ

National Provider Directory

National Provider Directory
Tax ID family
Arizona Hand and Physical Rehab LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1659549194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 CLEARWATER DR. SUITE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86305",
            "telephone_number": "928-777-9890",
            "fax_number": "928-777-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 CLEARWATER DR. SUITE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86305",
            "telephone_number": "928-777-9890",
            "fax_number": "928-777-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA HAND AND PHYSICAL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "NAMIHAS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "928-777-9890",
        "authorized_official_credential": "OT, CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "957582",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.