Shira Rhonda Wacholder-Siegal, O.T.R.

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT773 Issued in CA

Practice address

9730 Wilshire Blvd. Suite 200
Beverly Hills, CA 90212-2004

Phone

(310) 278-0204

Fax

(310) 278-0171

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1981

Medicare assignment

May accept Medicare assignment

Group practices

Evolution Physical Therapy IncGroup PAC ID 0244336964, 72 clinicians

Physical Therapy Specialists IncGroup PAC ID 6507764891, 13 clinicians

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 and National Provider Directory roles.

• Evolution Physical Therapy, Inc

  • Physical Therapist
  • Culver City, CA
  • NPI 1174601116
  Medicare reassignment Care Compare group NPD
• Physical Therapy Specialists Inc

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1659300507
  Medicare reassignment Care Compare group NPD
• Beverly Hills Center for Physical Therapy and Rehabilitation Inc

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1750484317

  Hand

  Medicare reassignment NPD
• Gold Wellness Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1053311332
  NPD (past)
• Next Phase Medical PC

  • General Practice Physician
  • Culver City, CA
  • NPI 1821961863
  NPD (past)
• W. Seth Bolling, MD, Inc

  • Orthopaedic Surgery Physician
  • Beverly Hills, CA
  • NPI 1366688756
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1972620128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S FULLER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362809",
            "telephone_number": "323-559-0081",
            "fax_number": "323-931-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 WILSHIRE BLVD. SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122004",
            "telephone_number": "310-278-0204",
            "fax_number": "310-278-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHOLDER-SIEGAL",
        "first_name": "SHIRA",
        "middle_name": "RHONDA",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie R Vonraffay, PHD
• Neil Menelaos Vranis, M.D.
• Kim Vu, LVN
• Paulina Vu
• W. Seth Bolling, MD, Inc
• Umarin Wachter, CMT
• Sumeet Haresh Wadhwani, M.D.
• Stacy Monique Wadlington, PH.D.
• Elliott Jay Wagner, M.D.
• Brian Wagoner

• Hand Occupational Therapist in Beverly Hills, CA
• Providers in Beverly Hills, 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 29, 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.