Individual provider Active NPI

Jean E. Bellucci, OTR/CHT

  • Occupational Therapist
  • Murrieta, CA
National Provider Identifier
1700127248
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13649 Issued in CA
Practice address
25150 Hancock Ave
Suite 100
Murrieta, CA 92562-5987
Phone
(951) 698-7720
Fax
(951) 698-7451
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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 13649 CA Primary

Addresses

Primary practice location

25150 Hancock Ave
Suite 100
Murrieta, CA 92562-5987

Mailing address

24630 Washington Ave
Suite 200
Murrieta, CA 92562-6131
Phone (951) 696-9353

Other names 1

  • Jean Firnhaber Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131213000311 CA Practitioner - Occupational Therapist in Private Practice 3971743741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rancho Physical Therapy IncGroup PAC ID 2365346491, 29 clinicians

Practice addresses (Care Compare)

26881 Jefferson Ave
Suite B
Murrieta, CA 92562-9180
Phone (951) 698-7720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2480MAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Physical Therapy, Inc. Occupational Therapist CurrentSince Aug 1, 2013 Accepting new patients
Rancho Physical Therapy, Inc. CurrentSince Aug 1, 2013 Accepting new patients
Rancho Physical Therapy, Inc. PastSince Aug 1, 2013 Accepting new patients

Locations

1280 Corona Pointe Ct
Ste 118
Corona, CA 92879
Phone (951) 304-3402

31764 Casino Dr
Ste 106AB
Lake Elsinore, CA 92530
Phone (951) 471-3300

25150 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 698-7720

24630 Washington Ave
Ste 200
Murrieta, CA 92562

11276 5th St
Ste 400
Rch Cucamonga, CA 91730
Phone (909) 481-0437

29645 Rancho California Rd
Ste 121
Temecula, CA 92591
Phone (951) 676-0296

Organizations & group practices 3

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": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1700127248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24630 WASHINGTON AVE",
            "address_2": "SUITE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626131",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25150 HANCOCK AVE",
            "address_2": "SUITE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625987",
            "telephone_number": "951-698-7720",
            "fax_number": "951-698-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLUCCI",
        "first_name": "JEAN",
        "middle_name": "E.",
        "credential": "OTR/CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "13649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "FIRNHABER",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.