Smita Dinesh Mistry, OTR/L, CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT 594 Issued in CA

Practice address

4341 Birch St
Ste 102
Newport Beach, CA 92660-1924

Phone

(949) 475-1002

Fax

(949) 475-1003

NPI assigned

Jul 12, 2006

Last updated

Dec 21, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ace Consulting Group

  dba Selective Rehab

  • Occupational Therapist
  • Newport Beach, CA
  • NPI 1679508220
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1871518944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COROMANDE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926140245",
            "telephone_number": "949-331-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 BIRCH ST",
            "address_2": "STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601924",
            "telephone_number": "949-475-1002",
            "fax_number": "949-475-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "SMITA",
        "middle_name": "DINESH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHT -CERTIFIED HAND THERAPIST",
            "identifier": "201305036",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OT 594",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sima Mirhashemi, D.O.
• Misa Butsuhara Marriage and Family Therapy Incorporated
• Alexander Seiji Misono, MD, MBA
• Asha Misra, MD
• Mission Behavioral Health
• Alain Catalin Mita, MD
• James Brian Mitchel, D.C.
• Mitchell C Austin MD Inc
• Makenna Mitchell
• Olivia J Mitchell, PHD

• Hand Occupational Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Hand Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; 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.