Individual provider Active NPI

Joshua P Rayburn, ORT/L

  • Occupational Therapist
  • Eureka, CA
National Provider Identifier
1699448522
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
22623 Issued in CA
Practice address
1587 Myrtle Ave
Eureka, CA 95501-1453
Phone
(707) 441-1931
Fax
(707) 441-1940
NPI assigned
Jul 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 22623 CA Primary

Addresses

Primary practice location

1587 Myrtle Ave
Eureka, CA 95501-1453

Mailing address

1587 Myrtle Ave
Eureka, CA 95501-1453
Phone (707) 441-1931

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819002755 CA Practitioner - Occupational Therapist in Private Practice 6507261104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humboldt Hand and Foot TherapyGroup PAC ID 7911999792, 4 clinicians

Practice addresses (Care Compare)

1587 Myrtle Ave
Eureka, CA 95501-1453
Phone (707) 441-1931

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as individual
Quality
86.72
Improvement activities
40
Cost
78.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22623CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt Hand and Foot Therapy Occupational Therapist CurrentSince Aug 1, 2021 Accepting new patients

Locations

1587 Myrtle Ave
Eureka, CA 95501
Phone (707) 441-1931

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1699448522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011453",
            "telephone_number": "707-441-1931",
            "fax_number": "707-441-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011453",
            "telephone_number": "707-441-1931",
            "fax_number": "707-441-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "JOSHUA",
        "middle_name": "P",
        "credential": "ORT/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.