Individual provider Active NPI

Jocqueline Spencer

  • Occupational Therapist
  • San Jose, CA
National Provider Identifier
1255759155
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119006353 Issued in MD
Practice address
1172 Murphy Ave Ste 227
San Jose, CA 95131-2429
Phone
(408) 890-7500
NPI assigned
Mar 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119006353 VA
Occupational Therapist 225X00000X 24606 CA
Occupational Therapist 225X00000X 9135 NC
Occupational Therapist 225X00000X 0119006353 MD Primary

Addresses

Primary practice location

1172 Murphy Ave Ste 227
San Jose, CA 95131-2429

Mailing address

1172 Murphy Ave Ste 227
San Jose, CA 95131-2429
Phone (408) 890-7500

Other practice location 1

701 King Farm Blvd
Rockville, MD 20850-6165
Phone (240) 499-9042

Other practice location 2

864 US Highway 158
Business West
Warrenton, NC 27589
Phone (252) 257-2121

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

State licenses

LicenseStateTypeSpecialty
24606CAMDDentist
0119006353MDMDOccupational Therapist
9135NCMDOccupational Therapist
0119006353VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1255759155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 MURPHY AVE STE 227",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312429",
            "telephone_number": "408-890-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 MURPHY AVE STE 227",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312429",
            "telephone_number": "408-890-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 King Farm Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208506165",
            "country_code": "US",
            "telephone_number": "240-499-9042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "864 US Highway 158",
            "address_2": "Business West",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "NC",
            "postal_code": "27589",
            "country_code": "US",
            "telephone_number": "252-257-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JOCQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-29",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006353",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24606",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "9135",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "0119006353",
            "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 Jun 30, 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.