Organization Active NPI

Restored Hope Hand Therapy, LLC

  • Hand Occupational Therapist
  • Prescott, AZ
National Provider Identifier
1740934587
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
RESTORED HOPE HAND THERAPY, LLC
Practice address
1003 Division St Ste 6B
Prescott, AZ 86301-1657
Phone
(928) 275-2201
Fax
(928) 275-1814
NPI assigned
Feb 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Tamera L Ford, OTR/LNPI 1538253240
Title
Owner
Phone
(714) 225-9851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X Primary

Addresses

Primary practice location

1003 Division St Ste 6B
Prescott, AZ 86301-1657

Mailing address

1042 Willow Creek Rd Ste A101-415
Prescott, AZ 86301-1673
Phone (928) 275-2201

Other names 1

  • Restored Hope Hand Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220804003293 AZ Part B Supplier - Clinic/Group Practice 8921480146 Receives reassigned benefits from 3 practitioners
Practice locations: Prescott, AZ
O20230509001521 AZ DME Supplier - Independently-Practicing Occupational Therapist 8921480146 Practice locations: Prescott, AZ

National Provider Directory

National Provider Directory

Locations

1003 Division St
Ste 6B
Prescott, AZ 86301
Phone (928) 275-2201

1042 Willow Creek Rd
Ste A101415
Prescott, AZ 86301

1003 Division St
Prescott, AZ 86301
Phone (520) 445-1611

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1740934587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 WILLOW CREEK RD STE A101-415",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011673",
            "telephone_number": "928-275-2201",
            "fax_number": "928-275-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 DIVISION ST STE 6B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011657",
            "telephone_number": "928-275-2201",
            "fax_number": "928-275-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORED HOPE HAND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-225-9851",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restored Hope Hand Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.