Socal Hand Therapy, Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

OT 3375 Issued in CA

Legal business name

SOCAL HAND THERAPY, INC

Practice address

1965 5TH Ave
San Diego, CA 92101-2300

Phone

(619) 851-6072

Fax

(619) 241-2992

NPI assigned

May 14, 2015

Last updated

May 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Angela S Witucki, OTR/L CHT

Title

Owner, Clinical Director

Phone

(619) 851-2530

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1801274410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 5TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012300",
            "telephone_number": "619-851-6072",
            "fax_number": "619-241-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 5TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012300",
            "telephone_number": "619-851-6072",
            "fax_number": "619-241-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL HAND THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "WITUCKI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "619-851-2530",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L CHT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CA",
            "license": "OT 3375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristel Buenaventura Sobrevilla, RN
• Rebeca Sobrinho Pereira
• Socal Breastfeeding LLC
• Socal Chiropractic
• Socal Foot Care PC
• Socal Kids Occupational Therapy, P.C.
• Socal Medical Clinics (Revive Wound Group)
• Socal Nursing Wound Care PC
• Socal Occupational Therapy
• Socal OT Solutions PC

• Rehabilitation Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.