Provider Demographics
NPI:1972502300
Name:HAND TO SHOULDER REHAB, INC.
Entity Type:Organization
Organization Name:HAND TO SHOULDER REHAB, INC.
Other - Org Name:LINDSAY PIMENTEL HAND TO SHOULDER REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LINDSAY
Authorized Official - Last Name:PIMENTEL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L,CHT,CWCE,CEAS
Authorized Official - Phone:559-325-3503
Mailing Address - Street 1:7005 N MAPLE AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-8009
Mailing Address - Country:US
Mailing Address - Phone:559-325-3503
Mailing Address - Fax:559-325-3504
Practice Address - Street 1:7005 N MAPLE AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-8009
Practice Address - Country:US
Practice Address - Phone:559-325-3503
Practice Address - Fax:559-325-3504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT397225X00000X
225XE1200X
CA1011100174225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomicsGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ04873ZOtherBLUE CROSS/BLUE SHIELD
CA24482484OtherBPNSE TPIN
CACA-2255-0304OtherPREFERRED THERAPY PROVS.
CACT9956620OtherMEDICARE
WA131116OtherSTATE DEPT. OF LABOR
CACT9956620OtherMEDICARE
CA24482484OtherBPNSE TPIN