Provider Demographics
NPI:1811025695
Name:SANTA MONICA HAND THERAPY, INC.
Entity Type:Organization
Organization Name:SANTA MONICA HAND THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:MONTERO
Authorized Official - Last Name:ZECCHETTO
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:310-829-3320
Mailing Address - Street 1:2001 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5641
Mailing Address - Country:US
Mailing Address - Phone:310-829-3320
Mailing Address - Fax:310-829-3305
Practice Address - Street 1:2001 WILSHIRE BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5641
Practice Address - Country:US
Practice Address - Phone:310-829-3320
Practice Address - Fax:310-829-3305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2651225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW18100Medicare PIN
CA1811025695Medicare NSC
CA1952368847Medicare NSC
3968690001Medicare NSC