Sue M Henry, O.T.R/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1899 Issued in CA

Practice address

2109 Otoole Ave Ste M
San Jose, CA 95131-1338

Phone

(408) 573-7720

Fax

(408) 753-9555

NPI assigned

Oct 22, 2012

Last updated

Feb 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Play Therapy

  • Pediatric Occupational Therapist
  • San Jose, CA
  • NPI 1730066960

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1588917058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 OTOOLE AVE STE M",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311338",
            "telephone_number": "408-573-7720",
            "fax_number": "408-753-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 OTOOLE AVE STE M",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311338",
            "telephone_number": "408-573-7720",
            "fax_number": "408-753-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SUE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "O.T.R/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "1899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Charles Henry Jr.
• Kathleen Henry, P.A.
• Mackenzie Henry
• Maritza Henry, MFT
• Michael Bruce Henry, LMFT
• Scott James Henrywestwood, LAADC, NCAC-II, SAP
• David Hensley, M.D.
• Christina Nicole Henson-Carlisle
• Donna Marie Hepp
• Her & del Carmen, DDS, Inc

• Pediatric Occupational Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.