Jaclynn Shibuya Reifman, OTR

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

771 Issued in CA

Practice address

9000 Wakarusa St
La Mesa, CA 91942-3307

Phone

(619) 740-4600

Fax

(619) 589-7638

NPI assigned

May 21, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699984237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 STARKEY WAY",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919011424",
            "telephone_number": "619-445-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 WAKARUSA ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423307",
            "telephone_number": "619-740-4600",
            "fax_number": "619-589-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFMAN",
        "first_name": "JACLYNN",
        "middle_name": "SHIBUYA",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hand Occupational Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Hand Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.