Active NPI
Julie Ann Davis
- Pediatric Occupational Therapist
- San Jose, CA
National Provider Identifier
1750174942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 27707
- Practice address
- 2109 Otoole Ave Ste M
San Jose, CA 95131-1338 - Phone
- (408) 573-7720
- NPI assigned
- May 28, 2025
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 27707 | CA | Primary |
Addresses
Primary practice location
2109 Otoole Ave Ste M
San Jose, CA 95131-1338
Mailing address
2109 Otoole Ave Ste M
San Jose, CA 95131-1338
Phone (408) 573-7720
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 |
|---|---|---|---|
| 27707 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Play Therapy | Pediatrics | Current | Accepting new patients |
Locations
2109 Otoole Ave
Ste M
San Jose, CA 95131
Phone (408) 573-7720
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": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1750174942",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JULIE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-28",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "27707",
"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 Jan 5, 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.