Active NPI
Wayne Hilty, OT
- Occupational Therapist
- Cathedral City, CA
National Provider Identifier
1992560171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18702
- Practice address
- 69472 Serenity Rd
Cathedral City, CA 92234-7921 - Phone
- (760) 409-6383
- Fax
- (866) 225-9947
- NPI assigned
- Feb 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 18702 | CA | Primary |
Addresses
Primary practice location
69472 Serenity Rd
Cathedral City, CA 92234-7921
Mailing address
7503 Regency Dr
Palm Springs, CA 92264-6739
Phone (760) 409-0558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
69472 Serenity Rd
Cathedral City, CA 92234-7921
Phone (760) 409-6383
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On the Move Rehab | Occupational Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1992560171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7503 REGENCY DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922646739",
"telephone_number": "760-409-0558",
"fax_number": "866-225-9947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69472 SERENITY RD",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922347921",
"telephone_number": "760-409-6383",
"fax_number": "866-225-9947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILTY",
"first_name": "WAYNE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "18702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cathedral City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.