Provider Demographics
NPI:1972738649
Name:HINGORANI, SHIKSHA D (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:SHIKSHA
Middle Name:D
Last Name:HINGORANI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5625 CRESCENT PARK W
Mailing Address - Street 2:UNIT #134
Mailing Address - City:PLAYA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:90094-2079
Mailing Address - Country:US
Mailing Address - Phone:310-367-5661
Mailing Address - Fax:
Practice Address - Street 1:5625 CRESCENT PARK W
Practice Address - Street 2:UNIT #134
Practice Address - City:PLAYA VISTA
Practice Address - State:CA
Practice Address - Zip Code:90094-2079
Practice Address - Country:US
Practice Address - Phone:310-367-5661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-23
Last Update Date:2009-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7742225X00000X, 225XP0019X
7742225XF0002X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation