STAPHANY JIMENEZ
NPI 1629552013
Occupational Therapist in Davis, CA

Active since September 20, 2018Accepts Medicare Assignment
1111 ALVARADO AVE, DAVIS, CA 95616(530) 756-0700 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2026, Sep 20, 2018 (2 updates tracked since 2018).

About Staphany Jimenez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAPHANY JIMENEZ (NPI 1629552013) is an individual occupational therapist in Davis, California, licensed in California (OT27267) and active in the NPI registry since September 2018. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1629552013
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSTAPHANY JIMENEZ
Location Address1111 ALVARADO AVEDavis, CA 95616-5521
Mailing Address2745 Orchard Ln Apt 13206Sacramento, CA 95833-3961
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 20, 2018
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1629552013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in CA · OT27267
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1111 ALVARADO AVE, Davis, CA 95616

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Staphany Jimenez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315404050
PECOS Enrollment IDI20260812002932

Medicare Billing Reassignments

2

Medicare enrollment records show Staphany Jimenez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
5308 MONROE AVE
San Diego, CA 92115
  • Reassigned Medicare billing, California enrollment
  • 29 clinicians in this Medicare group
Rehabilitation
4001 BELL AVE
Billings, MT 59106
  • Reassigned Medicare billing, California enrollment
  • 332 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
1111 ALVARADO AVE
DAVIS, CA 95616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Staphany Jimenez's NPI number?

The NPI number for Staphany Jimenez is 1629552013. It was assigned to this individual provider in the NPPES registry on September 20, 2018.

Where is Staphany Jimenez located?

Staphany Jimenez practices at 1111 Alvarado Ave, Davis, CA 95616. The listed phone number is (530) 756-0700.

What is Staphany Jimenez's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Staphany Jimenez enrolled in Medicare?

Yes. Staphany Jimenez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Staphany Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Staphany Jimenez reassigns Medicare benefits to 2 organizations: Reliant Senior Living LLC (San Diego, CA) and Orthopaedic And Neurological Rehab Inc (Billings, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Staphany Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Staphany Jimenez was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.