Organization Active NPI

Humboldt Hand and Foot Therapy

  • Occupational Therapist
  • Eureka, CA
National Provider Identifier
1891711271
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
HUMBOLDT HAND AND FOOT THERAPY
Practice address
1587 Myrtle Ave
Eureka, CA 95501-1453
Phone
(707) 441-1931
Fax
(707) 441-1940
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Patrick Sarabia, OTR
Title
Owner
Phone
(707) 441-1931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1587 Myrtle Ave
Eureka, CA 95501-1453

Mailing address

1587 Myrtle Ave
Eureka, CA 95501-1453
Phone (707) 441-1931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040401000251 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7911999792 Receives reassigned benefits from 4 practitioners
Practice locations: Eureka, CA
O20100930045047 CA DME Supplier - Independently-Practicing Occupational Therapist 7911999792 Practice locations: Eureka, CA

National Provider Directory

National Provider Directory

Locations

1587 Myrtle Ave
Eureka, CA 95501
Phone (707) 441-1931

1775 Harrison Ave
Eureka, CA 95501
Phone (707) 445-8080

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1891711271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011453",
            "telephone_number": "707-441-1931",
            "fax_number": "707-441-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1587 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011453",
            "telephone_number": "707-441-1931",
            "fax_number": "707-441-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT HAND AND FOOT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "SARABIA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-441-1931",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.