SHATTUCK REHABILITATION SERVICES NPI 1245361591

NPI Information

NPI: 1245361591
Provider Name: SHATTUCK REHABILITATION SERVICES

Doing Business As: HEALING HANDS THERAPY & WELLNESS CENTER

Classification: Occupational Therapist - 225XH1200X
Entity Type: Organization

Specialization: Hand

Address:
4772 KATELLA AVE STE 100
LOS ALAMITOS, CA
ZIP 90720
Phone: (562) 430-8700
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SHATTUCK REHABILITATION SERVICES is a hand occupational therapist in Los Alamitos, CA. SHATTUCK REHABILITATION SERVICES NPI is 1245361591. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Healing Hands Therapy & Wellness Center.

The provider's business location address is:

4772 KATELLA AVE STE 100
LOS ALAMITOS, CA
ZIP 90720-681
Phone: (562) 430-8700
Fax: (562) 430-8760

The provider's authorized official is Jeanette Louise Shattuck .
The authorized official title is President and has the following contact phone number (562) 430-8700.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 2/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225X00000X	Occupational Therapist		AA358119	CALIFORNIA	No
2	225XE1200X	Occupational Therapist	Ergonomics	AA358119	CALIFORNIA	No
3	335E00000X	Prosthetic/Orthotic Supplier			CALIFORNIA	No
4	225XH1200X	Occupational Therapist	Hand	AA358119	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W16830	MEDICARE PIN	CALIFORNIA
2	08127ADOC	OTHER	CALIFORNIA	ADOC ID
3	205696000	OTHER	CALIFORNIA	DEPT OF LABOR ACS
4	5297550001	MEDICARE NSC	CALIFORNIA
5	ZZZ07888Z	OTHER	CALIFORNIA	BLUE SHIELD GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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