Individual provider Active NPI

Teresa Baylon Khuong, O.T.R./L.

  • Occupational Therapist
  • San Jose, CA
National Provider Identifier
1497160147
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT10989 Issued in CA
Practice address
42 Race St
San Jose, CA 95126-3130
Phone
(408) 294-8020
Fax
(408) 294-8022
NPI assigned
Jun 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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 OT10989 CA Primary

Addresses

Primary practice location

42 Race St
San Jose, CA 95126-3130

Mailing address

42 Race St
San Jose, CA 95126-3130
Phone (408) 294-8020

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
OT10989CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Khuong Chiropractic Corporation Past Accepting new patients

Organizations & group practices 1

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": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1497160147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 RACE ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263130",
            "telephone_number": "408-294-8020",
            "fax_number": "408-294-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 RACE ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263130",
            "telephone_number": "408-294-8020",
            "fax_number": "408-294-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUONG",
        "first_name": "TERESA",
        "middle_name": "BAYLON",
        "name_prefix": "Ms.",
        "credential": "O.T.R./L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT10989",
            "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 Jun 20, 2014; 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.