NPIMap

Organization Active NPI

SM Rehab Inc

  • Occupational Therapist
  • Anaheim, CA
National Provider Identifier
1760778393
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 10147 Issued in CA
Legal business name
SM REHAB INC
Practice address
2121 W Crescent Ave
Suite C
Anaheim, CA 92801-3810
Phone
(714) 875-8051
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Masheilapia Manabat, OT
Title
President
Phone
(714) 875-8051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT 10147 CA Primary

Addresses

Primary practice location

2121 W Crescent Ave
Suite C
Anaheim, CA 92801-3810

Mailing address

2121 W Crescent Ave
Suite C
Anaheim, CA 92801-3810
Phone (714) 875-8051

National Provider Directory

National Provider Directory

Locations

2121 W Crescent Ave
Ste C
Anaheim, CA 92801
Phone (714) 875-8051

Practitioners & affiliated clinicians

Practitioners 4

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": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1760778393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W CRESCENT AVE",
            "address_2": "SUITE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013810",
            "telephone_number": "714-875-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W CRESCENT AVE",
            "address_2": "SUITE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013810",
            "telephone_number": "714-875-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SM REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "MANABAT",
        "authorized_official_first_name": "MASHEILAPIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-875-8051",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 10147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.