Active NPI
Darla J Pietschker, O.T.R.L.
- Occupational Therapist
- San Jose, CA
National Provider Identifier
1801828256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 3502
- Practice address
- 2039 Forest Ave Ste 104
San Jose, CA 95128-4815 - Phone
- (408) 279-8501
- Fax
- (408) 279-8504
- NPI assigned
- Jul 7, 2006
- 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 | OT 3502 | CA | Primary |
Addresses
Primary practice location
2039 Forest Ave Ste 104
San Jose, CA 95128-4815
Mailing address
PO Box 612260
San Jose, CA 95161-2260
Phone (877) 325-2776
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 3502 | CA | MD | Occupational Therapist |
| 3502 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Center Inc | Past | Accepting new patients | |
| Coyle Chiropractic Corp. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- San Jose, CA
- NPI 1245228154
-
- Chiropractor
- San Jose, CA
- NPI 1811916000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1801828256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 612260",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951612260",
"telephone_number": "877-325-2776",
"fax_number": "408-945-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2039 FOREST AVE STE 104",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284815",
"telephone_number": "408-279-8501",
"fax_number": "408-279-8504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETSCHKER",
"first_name": "DARLA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "O.T.R.L.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 3502",
"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 Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.