NPIMap

Organization Active NPI

Hand to Shoulder Rehab, Inc.

  • Occupational Therapist
  • Fresno, CA
National Provider Identifier
1972502300
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT397 Issued in CA
Legal business name
HAND TO SHOULDER REHAB, INC.
Practice address
7005 N Maple Ave
Suite 104
Fresno, CA 93720-8009
Phone
(559) 325-3503
Fax
(559) 325-3504
NPI assigned
Jul 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Mrs. Karen Lindsay Pimentel, OTR/L,CHT,CWCE,CEASNPI 1679630305
Title
Ceo / President
Phone
(559) 325-3503

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 OT397 CA Primary
Ergonomics Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XE1200X
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X 1011100174 CA

Addresses

Primary practice location

7005 N Maple Ave
Suite 104
Fresno, CA 93720-8009

Mailing address

7005 N Maple Ave
Suite 104
Fresno, CA 93720-8009
Phone (559) 325-3503

Other identifiers 5

IdentifierTypeStateIssuer
ZZZ04873ZOtherCABLUE CROSS/BLUE SHIELD
24482484OtherCABPNSE TPIN
CA-2255-0304OtherCAPREFERRED THERAPY PROVS.
CT9956620OtherCAMEDICARE
131116OtherWASTATE DEPT. OF LABOR

Other names 1

  • Lindsay Pimentel Hand to Shoulder Rehab Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050712001205 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345276283 Receives reassigned benefits from 5 practitioners
Practice locations: Fresno, CA
O20100930032623 CA DME Supplier - Independently-Practicing Occupational Therapist 0345276283 Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

670 E Bullard Ave
Ste 105
Fresno, CA 93710
Phone (559) 205-0930

7005 N Maple Ave
Ste 104
Fresno, CA 93720
Phone (559) 222-8785

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1972502300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 N MAPLE AVE",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208009",
            "telephone_number": "559-325-3503",
            "fax_number": "559-325-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 N MAPLE AVE",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208009",
            "telephone_number": "559-325-3503",
            "fax_number": "559-325-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND TO SHOULDER REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "PIMENTEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LINDSAY",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "559-325-3503",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L,CHT,CWCE,CEAS"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT397",
            "primary": true
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "1011100174",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "ZZZ04873Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BPNSE TPIN",
            "identifier": "24482484",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED THERAPY PROVS.",
            "identifier": "CA-2255-0304",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CT9956620",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DEPT. OF LABOR",
            "identifier": "131116",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindsay Pimentel Hand to Shoulder Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.