Organization Active NPI

Ontrack Therapy Services P.C.

  • Occupational Therapist
  • San Jose, CA
National Provider Identifier
1740777028
Registry record updated Apr 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT809 Issued in CA
Legal business name
ONTRACK THERAPY SERVICES P.C.
Practice address
4850 Pearl Ave
San Jose, CA 95136-2701
Phone
(408) 506-7584
NPI assigned
Apr 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2018

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

Authorized official

Name
Erica DaviedNPI 1487141768
Title
Otr/L
Phone
(408) 506-7584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT809 CA Primary
Clinic/Center 261Q00000X OT809 CA

Addresses

Primary practice location

4850 Pearl Ave
San Jose, CA 95136-2701

Mailing address

6358 Mojave Dr
San Jose, CA 95120-5310
Phone (408) 506-7583

Other names 1

  • OnTrack Therapy Services Former legal business name

National Provider Directory

National Provider Directory

Locations

4850 Pearl Ave
San Jose, CA 95136
Phone (408) 506-7584

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524355200000",
    "number": "1740777028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6358 MOJAVE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951205310",
            "telephone_number": "408-506-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 PEARL AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362701",
            "telephone_number": "408-506-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTRACK THERAPY SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-22",
        "last_updated": "2018-04-22",
        "status": "A",
        "authorized_official_last_name": "DAVIED",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "408-506-7584"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT809",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "OT809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OnTrack Therapy Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 22, 2018; 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.