Individual provider Active NPI

Leisla Yahaira Bernal Avila, OTR/L

  • Occupational Therapist
  • San Jose, CA
National Provider Identifier
1003737602
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
29155 Issued in CA
Practice address
730 Empey Way
San Jose, CA 95128-4705
Phone
(408) 275-1500
NPI assigned
Jul 22, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 29155 CA Primary

Addresses

Primary practice location

730 Empey Way
San Jose, CA 95128-4705

Mailing address

730 Empey Way
San Jose, CA 95128-4705
Phone (408) 275-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Imotion Physical Therapy, Inc Occupational Therapist PastSince Dec 22, 2018 Accepting new patients
Omega Sports Rehabilitation, Inc. PastSince Dec 1, 2014 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1003737602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 EMPEY WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284705",
            "telephone_number": "408-275-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 EMPEY WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284705",
            "telephone_number": "408-275-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAL AVILA",
        "first_name": "LEISLA",
        "middle_name": "YAHAIRA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "29155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.