Active NPI
Priscilla Julian, MS, OTR/L
- Occupational Therapist
- San Jose, CA
National Provider Identifier
1235648833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 390806
- Practice address
- 826 N Winchester Blvd Ste 2G
San Jose, CA 95128-1357 - Phone
- (408) 337-2727
- NPI assigned
- Sep 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Occupational Therapist | 225X00000X | 390806 | Primary |
Addresses
Primary practice location
826 N Winchester Blvd Ste 2G
San Jose, CA 95128-1357
Mailing address
826 N Winchester Blvd Ste 2G
San Jose, CA 95128-1357
Other practice location 1
911 Bern Ct Ste 140
San Jose, CA 95112-1242
Phone (408) 573-7720
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17911 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Play Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- San Jose, CA
- NPI 1568641520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577404800000",
"number": "1235648833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 N WINCHESTER BLVD STE 2G",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 N WINCHESTER BLVD STE 2G",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281357",
"telephone_number": "408-337-2727"
}
],
"practiceLocations": [
{
"address_1": "911 Bern Ct Ste 140",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951121242",
"country_code": "US",
"telephone_number": "408-573-7720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JULIAN",
"first_name": "PRISCILLA",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2019-12-27",
"certification_date": "2019-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": "390806",
"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 Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.