Individual provider Active NPI

Korie Soares, OTR/L

  • Occupational Therapist
  • Palo Alto, CA
National Provider Identifier
1407476658
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2225 E Bayshore Rd # 200
Palo Alto, CA 94303-3220
Phone
(408) 384-4993
NPI assigned
Apr 17, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

2225 E Bayshore Rd # 200
Palo Alto, CA 94303-3220

Mailing address

11 Alviso St
Santa Clara, CA 95050-6101
Phone (408) 499-1925

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.joyopensdoors.com Direct Joy Opens Doors Speech and Occupational Therapy Inc.

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1407476658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ALVISO ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506101",
            "telephone_number": "408-499-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 E BAYSHORE RD # 200",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033220",
            "telephone_number": "408-384-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES",
        "first_name": "KORIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.joyopensdoors.com",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "Joy Opens Doors Speech and Occupational Therapy Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2225 E Bayshore Rd # 200",
            "city": "Palo Alto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "943033220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.