NPIMap

Organization Active NPI

Pediatric Pathways Inc

  • Pediatric Occupational Therapist
  • Morgan Hill, CA
National Provider Identifier
1154613495
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT4831 Issued in CA
Legal business name
PEDIATRIC PATHWAYS INC
Practice address
17400 Monterey Rd Ste 2E
Morgan Hill, CA 95037-7319
Phone
(408) 778-6200
Fax
(408) 484-1096
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Mrs. Elizabeth Clerk Belliveau, OTR/LNPI 1568507861
Title
Owner/Director
Phone
(408) 778-6200

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
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X OT4831 CA Primary

Addresses

Primary practice location

17400 Monterey Rd Ste 2E
Morgan Hill, CA 95037-7319

Mailing address

17400 Monterey Rd Ste 2E
Morgan Hill, CA 95037-7319
Phone (408) 778-6200

National Provider Directory

National Provider Directory

Locations

17400 Monterey St
Ste 2E
Morgan Hill, CA 95037
Phone (408) 778-6200

Practitioners & affiliated clinicians

Practitioners 7

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": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1154613495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17400 MONTEREY RD STE 2E",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950377319",
            "telephone_number": "408-778-6200",
            "fax_number": "408-484-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17400 MONTEREY RD STE 2E",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950377319",
            "telephone_number": "408-778-6200",
            "fax_number": "408-484-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PATHWAYS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "BELLIVEAU",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "CLERK",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "408-778-6200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT4831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.