Organization Active NPI

Andrea S. Hancock

  • Rehabilitation Clinic/Center
  • Fremont, CA
National Provider Identifier
1669862439
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
6071 Issued in CA
Legal business name
ANDREA S. HANCOCK
Practice address
40231 Hacienda CT
Fremont, CA 94539-3607
Phone
(510) 378-7852
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Andrea Hancock, OTR/L
Title
Self-Employed
Phone
(510) 378-7852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 6071 CA Primary

Addresses

Primary practice location

40231 Hacienda CT
Fremont, CA 94539-3607

Mailing address

40231 Hacienda CT
Fremont, CA 94539-3607
Phone (510) 378-7852

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1669862439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40231 HACIENDA CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393607",
            "telephone_number": "510-378-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40231 HACIENDA CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393607",
            "telephone_number": "510-378-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA S. HANCOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "SELF-EMPLOYED",
        "authorized_official_telephone_number": "510-378-7852",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CA",
            "license": "6071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

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