STOCKTON HAND THERAPY
NPI 1639181811
Occupational Therapist - Hand in Stockton, CA
NPI Status: Active since August 13, 2006
Contact Information
1919 GRAND CANAL BLVD
SUITE C4
STOCKTON, CA
ZIP 95207
Phone: (209) 956-8737
Fax: (209) 956-2586
- Organization
- Occupational Therapist
- Hand
- CLIA Number: 05D2298238
- CLIA Cert. Type: Other - SKILLED NURSING FACILITY
- CLIA Exp. Date: 01-30-2026
About STOCKTON HAND THERAPY
This page provides the complete NPI Profile along with additional information for Stockton Hand Therapy, a provider established in Stockton, California operating as a Occupational Therapist, focusing in hand . The healthcare provider is registered in the NPI registry with number 1639181811 assigned on August 2006. The practitioner's primary taxonomy code is 225XH1200X with license number 2470 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Stockton Hand Therapy. The authorized official of this NPI record is Ms. Marianne Renee Caballero-rodriguez Ot/l, Cht (President)
- NPI
- 1639181811
- Provider Legal Name
- STOCKTON HAND THERAPY & REHABILITATION
- Other Organization Name
- STOCKTON HAND THERAPY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1919 GRAND CANAL BLVD SUITE C4 STOCKTON, CA 95207
- Location Phone
- (209) 956-8737
- Location Fax
- (209) 956-2586
- Mailing Address
- 7824 SOUTHWORTH RD VALLEY SPRINGS, CA 95252
- Mailing Phone
- (209) 956-8737
- Mailing Fax
- (209) 956-2586
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-13-2006
- Last Update Date
- 09-23-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Occupational Therapist Hand
- Taxonomy Code
- 225XH1200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 2470
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225000000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Orthotic Fitter | 2470 (CA) |
| 2 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 2470 (CA) |
| 3 | 225XN1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 2470 (CA) |
| 4 | 335E00000X | Suppliers | Prosthetic/Orthotic Supplier | 2470 (CA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5268870001 | MEDICARE NSC (07) | CA | |
| ZZZ07989Z | OTHER (01) | CA | BLUE SHIELD GROUP |
| P00066568 | OTHER (01) | CA | MEDICARE RAILROAD |
| 171713600 | OTHER (01) | CA | DEPARTMENT OF LABOR |
| 5530198 | OTHER (01) | CA | AETNA |
| ZZZ18560Z | MEDICARE PIN (08) | CA | |
| 1172170 | OTHER (01) | CA | FIRST HEALTH |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2298238
- Facility Type
- Other - SKILLED NURSING FACILITY
- Certificate Effective Date
- January 31, 2024
- Certificate Expiration Date
- January 30, 2026
- Laboratory Director
- JAMISON FERAMISCO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Stockton Hand Therapy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for STOCKTON HAND THERAPY
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 8 | 1 | 8 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 8 | 2 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 8 + 2 + 8 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1639181811 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073724498 | STOCKTON HAND THERAPY & REHABILITATION Organization | Durable Medical Equipment & Medical Supplies (Customized Equipment) | 1919 GRAND CANAL BLVD SUITE C4 STOCKTON, CA 95207 (209) 956-8737 |
| 1659383925 | MS. MARIANNE RENEE CABALLERO-RODRIGUEZ OT/L, CHT Individual | Occupational Therapist (Hand) | 1919 GRAND CANAL BLVD SUITE C-4 STOCKTON, CA 95207 (209) 956-8737 |
| 1801671177 | IMANI L SHANNON Individual | Driver | 1919 GRAND CANAL BLVD STOCKTON, CA 95207 (415) 423-4476 |
| 1831974104 | KENNETH R WILLIAMS JR. Individual | Driver | 1919 GRAND CANAL BLVD STOCKTON, CA 95207 (415) 933-5405 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639181811, enumerated in the NPI registry as an "organization" on August 13, 2006
The provider is located at 1919 Grand Canal Blvd Suite C4 Stockton, Ca 95207 and the phone number is (209) 956-8737
This medical organization specializes in Occupational Therapist with taxonomy code 225XH1200X with a focus in Hand
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D2298238 for a "other - skilled nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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