Individual provider Active NPI

Kathleen Morgan Thomas, M.A. OTR/L

  • Pediatric Occupational Therapist
  • San Jose, CA
National Provider Identifier
1356670723
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 5839 Issued in CA
Practice address
1520 Parkmoor Ave
Suite a 0149
San Jose, CA 95128-2420
Phone
(408) 829-7472
NPI assigned
Dec 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT 5839 CA Primary

Addresses

Primary practice location

1520 Parkmoor Ave
Suite a 0149
San Jose, CA 95128-2420

Mailing address

1023 Woodbine Way
San Jose, CA 95117-2965
Phone (408) 985-5298

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

State licenses

LicenseStateTypeSpecialty
5839CAMDPediatric Physical Therapist
OT 5839CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
I Can Too Learning Center, Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1356670723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 WOODBINE WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951172965",
            "telephone_number": "408-985-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 PARKMOOR AVE",
            "address_2": "SUITE A 0149",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282420",
            "telephone_number": "408-829-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KATHLEEN",
        "middle_name": "MORGAN",
        "credential": "M.A.  OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT 5839",
            "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 15, 2009; 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.