NPIMap

Organization Active NPI

Whole Kids Therapy Incorporated

  • Pediatric Occupational Therapist
  • San Jose, CA
National Provider Identifier
1407379464
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT3384 Issued in CA
Legal business name
WHOLE KIDS THERAPY INCORPORATED
Practice address
2066 Clarmar Way Ste a
San Jose, CA 95128-1715
Phone
(408) 280-7712
Fax
(408) 280-7721
NPI assigned
Jul 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Authorized official

Name
Moira Sullivan, OTR/LNPI 1124189394
Title
President
Phone
(408) 280-7712

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X OT3384 CA Primary

Addresses

Primary practice location

2066 Clarmar Way Ste a
San Jose, CA 95128-1715

Mailing address

2066 Clarmar Way Ste a
San Jose, CA 95128-1715
Phone (408) 280-7712

National Provider Directory

National Provider Directory

Locations

2066 Clarmar Way
Ste A
San Jose, CA 95128
Phone (408) 280-7712

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1407379464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 CLARMAR WAY STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281715",
            "telephone_number": "408-280-7712",
            "fax_number": "408-280-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 CLARMAR WAY STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281715",
            "telephone_number": "408-280-7712",
            "fax_number": "408-280-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE KIDS THERAPY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MOIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-280-7712",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT3384",
            "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 Aug 22, 2017; 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.