Individual provider Active NPI

Huey-Ru Tsay Sevidal, OTR/L, CHT

  • Hand Occupational Therapist
  • Valencia, CA
National Provider Identifier
1770984643
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT 1766 Issued in CA
Practice address
23300 Cinema Dr
Ste 240
Valencia, CA 91355-1776
Phone
(661) 414-4031
NPI assigned
Sep 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT 1766 CA Primary

Addresses

Primary practice location

23300 Cinema Dr
Ste 240
Valencia, CA 91355-1776

Mailing address

23300 Cinema Dr
Ste 240
Valencia, CA 91355-1776
Phone (661) 414-4031

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180209001361 CA Practitioner - Occupational Therapist in Private Practice 5092029843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23300 Cinema Dr
Valencia, CA 91355-1776
Phone (661) 368-6899

38925 Trade Ctr Dr
Unit H
Palmdale, CA 93551-3655
Phone (661) 417-4268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 1766CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Rehab Pros Hand CurrentSince Apr 28, 2015 Accepting new patients
Hand Rehab Pros Antelope Valley Hand CurrentSince Mar 1, 2019 Accepting new patients

Locations

38925 Trade Center Dr
Unit H
Palmdale, CA 93551
Phone (661) 274-9900

23300 Cinema Dr
Ste 240
Valencia, CA 91355
Phone (661) 368-6899

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1770984643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23300 CINEMA DR",
            "address_2": "STE 240",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551776",
            "telephone_number": "661-414-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23300 CINEMA DR",
            "address_2": "STE 240",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551776",
            "telephone_number": "661-414-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVIDAL",
        "first_name": "HUEY-RU",
        "middle_name": "TSAY",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 1766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.