Individual provider Active NPI

Jyoti Kaur Tatla, OTR/L

  • Occupational Therapist
  • San Jose, CA
National Provider Identifier
1356761910
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
21471 Issued in CA
Practice address
3216 Thousand Pines CT
San Jose, CA 95148-3645
Phone
(408) 807-0264
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Occupational Therapist 225X00000X 21471 CA Primary

Addresses

Primary practice location

3216 Thousand Pines CT
San Jose, CA 95148-3645

Mailing address

3216 Thousand Pines CT
San Jose, CA 95148-3645
Phone (408) 807-0264

Other practice location 1

1555 Parkmoor Ave
San Jose, CA 95128-2407
Phone (408) 282-0402

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

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy in Your Home - OT, PT, St Occupational Therapist CurrentSince Jun 4, 2020 Accepting new patients
Hope Services PastSince Mar 20, 2022 Accepting new patients
Hope Services Mental Health PastSince Jan 1, 2008 Accepting new patients

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1356761910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 THOUSAND PINES CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951483645",
            "telephone_number": "408-807-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 THOUSAND PINES CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951483645",
            "telephone_number": "408-807-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 Parkmoor Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282407",
            "country_code": "US",
            "telephone_number": "408-282-0402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATLA",
        "first_name": "JYOTI",
        "middle_name": "KAUR",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "21471",
            "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 Sep 1, 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.