Accessible Home OT PC
Organization Active NPI Occupational Therapist · Oakland, CA
NPI 1780423327 · NPPES record last updated May 22, 2024
Key facts
- NPI
- 1780423327
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- ACCESSIBLE HOME OT PC
- Practice address
- 7180 Homewood Dr
Oakland, CA 94611 - Phone
- (510) 391-5050
- NPI assigned
- May 22, 2024
- Organization subpart
- No
Authorized official
- Name
- Nina Margaret Rea, OTR/L
- Title
- Owner
- Phone
- (510) 391-5050
Practitioners 2
-
Nina Margaret Rea, OTR/L
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240717000674 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3577008366 |
Receives reassigned benefits from 2 practitioners Practice locations: Oakland, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | Yes |
Addresses
Primary practice location
7180 Homewood Dr
Oakland, CA 94611
Mailing address
7180 Homewood Dr
Oakland, CA 94611
Phone (510) 391-5050
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All providers in Oakland, CA · Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.