NPIMap

Organization Active NPI

Hand Therapy Center of the South Bay, Inc.

  • Hand Occupational Therapist
  • Torrance, CA
National Provider Identifier
1902110331
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT 2742 Issued in CA
Legal business name
HAND THERAPY CENTER OF THE SOUTH BAY, INC.
Practice address
19000 Hawthorne Blvd Ste 230
Torrance, CA 90503-1517
Phone
(310) 371-5151
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Mr. Jonathan Riddick, OTR/L, CHTNPI 1760551527
Title
Owner/Director
Phone
(310) 371-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT 2742 CA
Ergonomics Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XE1200X OT 2742 CA
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X OT 2742 CA Primary

Addresses

Primary practice location

19000 Hawthorne Blvd Ste 230
Torrance, CA 90503-1517

Mailing address

19000 Hawthorne Blvd
#230
Torrance, CA 90503-1517
Phone (310) 371-5151

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101006000264 CA Part B Supplier - Clinic/Group Practice 9830381094 Receives reassigned benefits from 3 practitioners
Practice locations: Torrance, CA
O20101019001294 CA DME Supplier - Independently-Practicing Occupational Therapist 9830381094 Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

19000 Hawthorne Blvd
Ste 230
Torrance, CA 90503
Phone (310) 371-5111

Practitioners & affiliated clinicians

Practitioners 3

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": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1902110331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 HAWTHORNE BLVD",
            "address_2": "#230",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031517",
            "telephone_number": "310-371-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 HAWTHORNE BLVD STE 230",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031517",
            "telephone_number": "310-371-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND THERAPY CENTER OF THE SOUTH BAY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "RIDDICK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "310-371-5151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 2742",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "CA",
            "license": "OT 2742",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 2742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.