NPI Record of REGENCY THERAPY RESOURCES NPI 1164544094

Occupational Therapy Assistant in San Marino, CA

Complete NPI Record

Field Name Value Definition
NPI1164544094The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code2Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EINUNAVAILThe Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business NameREGENCY THERAPY RESOURCESThe name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address2275 HUNTINGTON DRThe first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Second Line Business Mailing Address# 907The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider Business Mailing Address City NameSAN MARINOThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameCAThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code911082640The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number6264860775The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number6264860776The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address2233 HUNTINGTON DRThe first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSUITE 19The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameSAN MARINOThe city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCAThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code911082655The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number6264860775The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number6264860776The fax number associated with the location address of the provider being identified.
Provider Enumeration Date4/4/2007The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date8/22/2020The date that a record was last updated or changed.
Authorized Official Last NameCHUThe last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameROSEThe first name of the authorized official.
Authorized Official Middle NameSThe middle name of the authorized official.
Authorized Official Title or PositionDIRECTORThe title or position of the authorized official.
Authorized Official Telephone Number6264860775The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1224Z00000XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1X
Healthcare Provider Taxonomy Code 22251G0304X
Healthcare Provider Primary Taxonomy Switch 2X
Healthcare Provider Taxonomy Code 3235Z00000X
Healthcare Provider Primary Taxonomy Switch 3X
Is Organization SubpartN
Authorized Official Credential TextPT
Healthcare Provider Taxonomy Group 1193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 3193200000X MULTI-SPECIALTY GROUP