Organization Active NPI

Santa Clara Kids Therapy

  • Occupational Therapist
  • Santa Clara, CA
National Provider Identifier
1114635349
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SANTA CLARA KIDS THERAPY
Practice address
2005 De la Cruz Blvd Ste 165
Santa Clara, CA 95050-3030
Phone
(650) 269-5989
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Yuan Tao, OTR/LNPI 1174014658
Title
Ceo/Owner
Phone
(650) 269-5989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

2005 De la Cruz Blvd Ste 165
Santa Clara, CA 95050-3030

Mailing address

2005 De la Cruz Blvd Ste 165
Santa Clara, CA 95050-3030
Phone (650) 269-5989

National Provider Directory

National Provider Directory

Locations

2005 De la Cruz Blvd
Ste 165
Santa Clara, CA 95050
Phone (650) 269-0059

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1114635349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 DE LA CRUZ BLVD STE 165",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950503030",
            "telephone_number": "650-269-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 DE LA CRUZ BLVD STE 165",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950503030",
            "telephone_number": "650-269-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA KIDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "TAO",
        "authorized_official_first_name": "YUAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "650-269-5989",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.