NPIMap

Organization Active NPI

JLD Therapy, PC

  • Occupational Therapist
  • San Jose, CA
National Provider Identifier
1366804718
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
JLD THERAPY, PC
Practice address
2262 N 1St St
San Jose, CA 95131-2022
Phone
(408) 337-2727
Fax
(408) 478-4130
NPI assigned
Mar 24, 2016
Last updated
May 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Jennifer Lynn Davis, MS, OTR/LNPI 1609110063
Title
Owner
Phone
(408) 337-2727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

2262 N 1St St
San Jose, CA 95131-2022

Mailing address

2262 N 1St St
San Jose, CA 95131-2022
Phone (408) 337-2727

Other names 1

  • Joy & Laughter Developmental Therapy Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
JLD Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2262 N 1st St
San Jose, CA 95131
Phone (408) 337-2727

826 N Winchester Blvd
Ste 2G
San Jose, CA 95128
Phone (408) 337-2727

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1366804718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312022",
            "telephone_number": "408-337-2727",
            "fax_number": "408-478-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312022",
            "telephone_number": "408-337-2727",
            "fax_number": "408-478-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLD THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-337-2727",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joy & Laughter Developmental Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Joy & Laughter Developmental Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 25, 2022; 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.