Active NPI
Deborah Chiu, M.S., OTR/L
- Occupational Therapist
- Fremont, CA
National Provider Identifier
1639417579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1454
- Practice address
- 159 Washington Blvd
Fremont, CA 94539-5209 - Phone
- (510) 249-2715
- NPI assigned
- Jan 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1454 | CA | Primary |
Addresses
Primary practice location
159 Washington Blvd
Fremont, CA 94539-5209
Mailing address
32776 Clear Lake St
Fremont, CA 94555-1013
Phone (510) 324-8962
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1454 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1639417579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32776 CLEAR LAKE ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945551013",
"telephone_number": "510-324-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 WASHINGTON BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945395209",
"telephone_number": "510-249-2715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIU",
"first_name": "DEBORAH",
"name_prefix": "Mrs.",
"credential": "M.S., OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-28",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "1454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.