NPIMap

Organization Active NPI

California Physical, Occupational, Speech and Hand Therapy, Inc.

Doing business as California Rehabilittion

  • Neurorehabilitation Occupational Therapist
  • Modesto, CA
National Provider Identifier
1841357233
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
0161717 Issued in CA
Legal business name
CALIFORNIA PHYSICAL, OCCUPATIONAL, SPEECH AND HAND THERAPY, INC.
Doing business as
California Rehabilittion
Practice address
1539 McHenry Ave
Suite a
Modesto, CA 95350-4528
Phone
(209) 578-3290
Fax
(209) 529-8643
NPI assigned
Jan 3, 2007
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Mr. Jeff Steckler, COTA
Title
Owner President
Phone
(209) 578-3290

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0161717 CA
Physical Therapist 225100000X 0161717 CA
Cardiopulmonary Physical Therapist 2251C2600X 0161717 CA
Ergonomics Physical Therapist 2251E1200X 0161717 CA
Clinical Electrophysiology Physical Therapist 2251E1300X 0161717 CA
Geriatric Physical Therapist 2251G0304X 0161717 CA
Neurology Physical Therapist 2251N0400X 0161717 CA
Pediatric Physical Therapist 2251P0200X 0161717 CA
Sports Physical Therapist 2251S0007X 0161717 CA
Physical Therapy Assistant 225200000X 0161717 CA
Occupational Therapist 225X00000X 0161717 CA
Ergonomics Occupational Therapist 225XE1200X 0161717 CA
Hand Occupational Therapist 225XH1200X 0161717 CA
Neurorehabilitation Occupational Therapist 225XN1300X 0161717 CA Primary

Addresses

Primary practice location

1539 McHenry Ave
Suite a
Modesto, CA 95350-4528

Mailing address

1539 McHenry Ave Ste a
Modesto, CA 95350-4528
Phone (209) 578-3290

Other names 1

  • California Rehabilittion Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150119000615 CA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 7315081312 Practice locations: Modesto, CA

National Provider Directory

National Provider Directory
Tax ID family
Abc Therapeutics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1539 McHenry Ave
#A
Modesto, CA 95350
Phone (209) 578-3290

4660 Spyres Way
Modesto, CA 95356
Phone (209) 578-3290

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1841357233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 MCHENRY AVE STE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504528",
            "telephone_number": "209-578-3290",
            "fax_number": "209-529-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 MCHENRY AVE",
            "address_2": "SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504528",
            "telephone_number": "209-578-3290",
            "fax_number": "209-529-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PHYSICAL, OCCUPATIONAL, SPEECH AND HAND THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "STECKLER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "209-578-3290",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "0161717",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "0161717",
            "primary": false
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "CA",
            "license": "0161717",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "CA",
            "license": "0161717",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "CA",
            "license": "0161717",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "0161717",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "0161717",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "0161717",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "0161717",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "0161717",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "0161717",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "CA",
            "license": "0161717",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "0161717",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CA",
            "license": "0161717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Rehabilittion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.