NPIMap

Organization Active NPI

South Bay Childrens Therapy Center Inc

Doing business as Childrens Therapy Center

  • Occupational Therapist
  • Gilroy, CA
National Provider Identifier
1346347580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SOUTH BAY CHILDRENS THERAPY CENTER INC
Doing business as
Childrens Therapy Center
Practice address
7881 Eigleberry Street
Gilroy, CA 95020
Phone
(408) 842-1121
Fax
(408) 842-3046
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Donna M Jackson, MS OTRLNPI 1457496739
Title
Owner Clinical Director
Phone
(408) 842-1121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

7881 Eigleberry Street
Gilroy, CA 95020

Mailing address

7881 Eigleberry Street
Gilroy, CA 95020
Phone (408) 842-1121

Other names 1

  • Childrens Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

7881 Eigleberry St
Gilroy, CA 95020
Phone (408) 842-1121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346347580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7881 EIGLEBERRY STREET",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-842-1121",
            "fax_number": "408-842-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7881 EIGLEBERRY STREET",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-842-1121",
            "fax_number": "408-842-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY CHILDRENS THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "408-842-1121",
        "authorized_official_credential": "MS OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.