Individual provider Active NPI

Karen Lindsay Pimentel, OTRL CHT CWCE CEAS

  • Hand Occupational Therapist
  • Fresno, CA
National Provider Identifier
1679630305
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT397 Issued in CA
Practice address
7005 N Maple Ave
Suite 104
Fresno, CA 93720-8009
Phone
(559) 325-3503
Fax
(559) 325-3504
NPI assigned
Jan 2, 2007
Last updated
Nov 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Occupational Therapist 225XE1200X NU
Hand Occupational Therapist 225XH1200X OT397 CA Primary

Addresses

Primary practice location

7005 N Maple Ave
Suite 104
Fresno, CA 93720-8009

Mailing address

7005 N Maple Ave
Suite 104
Fresno, CA 93720-8009
Phone (559) 325-3503

Other identifiers 2

IdentifierTypeStateIssuer
CT0003970MedicaidCA
4831990001OtherCADMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621000476 CA Practitioner - Occupational Therapist in Private Practice 4183669187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand to Shoulder Rehab, Inc.Group PAC ID 0345276283, 4 clinicians

Practice addresses (Care Compare)

7005 N Maple Ave
Fresno, CA 93720-8009
Phone (559) 325-3503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
397CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hand to Shoulder Rehab, Inc. Ergonomics CurrentSince Feb 17, 2012 Accepting new patients

Locations

7005 N Maple Ave
Ste 104
Fresno, CA 93720
Phone (559) 222-8785

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1679630305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 N MAPLE AVE",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208009",
            "telephone_number": "559-325-3503",
            "fax_number": "559-325-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 N MAPLE AVE",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208009",
            "telephone_number": "559-325-3503",
            "fax_number": "559-325-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "KAREN",
        "middle_name": "LINDSAY",
        "name_prefix": "Mrs.",
        "credential": "OTRL CHT CWCE CEAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CT0003970",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4831990001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.