Active NPI
Isha Jo Helen Dusseau, MOT, OTRL
- Occupational Therapist
- Campbell, CA
National Provider Identifier
1730455833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12829
- Practice address
- 251 Llewellyn Ave
Campbell, CA 95008-1940 - Phone
- (419) 308-2767
- NPI assigned
- Mar 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201008212 | MI | |
| Occupational Therapist | 225X00000X | 12829 | CA | Primary |
Addresses
Primary practice location
251 Llewellyn Ave
Campbell, CA 95008-1940
Mailing address
251 Llewellyn Ave
Campbell, CA 95008-1940
Phone (419) 308-2767
Other names 1
- Miss Isha Jo Helen Corbin
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5201008212 | MI | MD | Occupational Therapist |
| 12829 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1730455833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 LLEWELLYN AVE",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950081940",
"telephone_number": "419-308-2767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 LLEWELLYN AVE",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950081940",
"telephone_number": "419-308-2767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUSSEAU",
"first_name": "ISHA",
"middle_name": "JO HELEN",
"name_prefix": "Ms.",
"credential": "MOT, OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-23",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201008212",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "12829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ISHA",
"last_name": "CORBIN",
"middle_name": "JO HELEN",
"prefix": "MISS",
"credential": "MOT, OTRL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.