Individual provider Active NPI

Chiao-Ju Fang, PHD, OTR/L

  • Occupational Therapist
  • Cupertino, CA
National Provider Identifier
1225451271
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18747 Issued in CA
Practice address
10080 N Wolfe Rd Ste Sw3200
Cupertino, CA 95014-2594
Phone
(510) 972-8166
NPI assigned
Jan 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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 18747 CA Primary

Addresses

Primary practice location

10080 N Wolfe Rd Ste Sw3200
Cupertino, CA 95014-2594

Mailing address

10080 N Wolfe Rd Ste Sw3200
Cupertino, CA 95014-2594
Phone (510) 972-8166

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Andante Pediatric Therapy, PC Current Accepting new patients
Alliedmedix Resources Inc Past Accepting new patients
Mind & Body Garden, a Psychological Corporation PastSince Sep 5, 2021 Accepting new patients

Locations

10080 N Wolfe Rd
Ste SW3200
Cupertino, CA 95014
Phone (408) 256-2583

Organizations & group practices 3

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": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1225451271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10080 N WOLFE RD STE SW3200",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142594",
            "telephone_number": "510-972-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 N WOLFE RD STE SW3200",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142594",
            "telephone_number": "510-972-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "CHIAO-JU",
        "name_prefix": "Dr.",
        "credential": "PHD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "18747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.