Active NPI
Janis Noda Ikeda, OTR/L
- Occupational Therapist
- San Jose, CA
National Provider Identifier
1811270887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3688
- Practice address
- 600 S 15TH St
San Jose, CA 95112-2367 - Phone
- (408) 286-9808
- NPI assigned
- Sep 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 3688 | CA | Primary |
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | 3688 | CA |
Addresses
Primary practice location
600 S 15TH St
San Jose, CA 95112-2367
Mailing address
600 S 15TH St
San Jose, CA 95112-2367
Phone (408) 286-9808
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1811270887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S 15TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951122367",
"telephone_number": "408-286-9808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S 15TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951122367",
"telephone_number": "408-286-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKEDA",
"first_name": "JANIS",
"middle_name": "NODA",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "3688",
"primary": true
},
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "CA",
"license": "3688",
"primary": false
}
],
"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 Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.