Individual provider Active NPI

Aubree Guthery

  • Occupational Therapist
  • San Jose, CA
National Provider Identifier
1467927459
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
16238 Issued in CA
Practice address
1 Vista Montana Apt 4402
San Jose, CA 95134-3305
Phone
(630) 649-4854
NPI assigned
Oct 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 16238 CA Primary

Addresses

Primary practice location

1 Vista Montana Apt 4402
San Jose, CA 95134-3305

Mailing address

1 Vista Montana Apt 4402
San Jose, CA 95134-3305
Phone (630) 649-4854

Other practice location 1

29516 Kohoutek Way
Union City, CA 94587-1221
Phone (510) 362-0827

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

State licenses

LicenseStateTypeSpecialty
16238CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1467927459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VISTA MONTANA APT 4402",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951343305",
            "telephone_number": "630-649-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VISTA MONTANA APT 4402",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951343305",
            "telephone_number": "630-649-4854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29516 Kohoutek Way",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "CA",
            "postal_code": "945871221",
            "country_code": "US",
            "telephone_number": "510-362-0827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTHERY",
        "first_name": "AUBREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "16238",
            "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 May 13, 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.