Unknown Individual – Neurorehabilitation Occupational Therapist, NPI 1982676151

Neurorehabilitation Occupational Therapist

Unknown Individual is a healthcare provider. based in South san francisco, California. specializing in Neurorehabilitation Occupational Therapist. They hold a License No. 4425 (CA). The NPI Number for Unknown Individual is 1982676151

Main info

Organization

Inactive

30 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1982676151

Phone

(832) 472-2177

Address

4 EUCALYPTUS AVE

Deactivation Date

25 September 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5123274444

Graduation Year

1996 (30 years ago)

PAC ID

3971931486

Group Practice PAC ID

6507159126

Professional Enrollment ID

I20200402002246

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience24

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

4, Eucalyptus Avenue, Baden, South San Francisco, San Mateo County, California, 94080, United States
SOUTH SAN FRANCISCO, CA 940802452
Phone: (832) 472-2177
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94080)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6507159126View full group profile

Name	Specialty	State
THEODORE RONALD OLIVER (DPT)	-	CA
MISS DENITZA V HRISTOVA (PT)	-	CA
DEREK PARSELL	Physical Therapist In Private Practice	CA
SARAH ELISE BIERI	-	TX
MR. YASIN BASKAN (PT, DPT)	-	CA
CECIL ALBERT II BROWN	Physical Therapist In Private Practice	CA
ELIZABETH M HOBBS (OT)	Occupational Therapist In Private Practice	CA
SHANNON GRANTHAM (OTR)	Occupational Therapist In Private Practice	KS
ALEXIS WHITMAN (OTR/L)	Occupational Therapist In Private Practice	CA
ETHEL ROMAN LUCERO (PT)	Physical Therapist In Private Practice	CA

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?

The official identifier for Unknown Individual is NPI 1982676151.

Who updates status for Unknown Individual?

NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.

What kind of doctor is Unknown Individual?

Unknown Individual is associated with Neurorehabilitation Occupational Therapist in the directory — Clinical services aligned with this taxonomy classification.

What locale is associated with Unknown Individual?

Directory geography for Unknown Individual centers on South San Francisco, California.

When was this NPI issued?

Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.