Individual provider Active NPI

Marcy Carmen De Perio, OTR/L

  • Occupational Therapist
  • San Jose, CA
National Provider Identifier
1871755637
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10911 Issued in CA
Practice address
1520 Parkmoor Ave Ste a
San Jose, CA 95128-2422
Phone
(408) 241-9911
Fax
(408) 241-7788
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10911 CA Primary

Addresses

Primary practice location

1520 Parkmoor Ave Ste a
San Jose, CA 95128-2422

Mailing address

1520 Parkmoor Ave Ste a
San Jose, CA 95128-2422
Phone (408) 241-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260219002046 CA Practitioner - Occupational Therapist in Private Practice 4587144365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehabilitation Physical Therapy Ca PCGroup PAC ID 5698209799, 41 clinicians

Practice addresses (Care Compare)

Palm Desert, CA 92260
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10911CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Physical Therapy Ca PC Occupational Therapist CurrentSince Feb 1, 2026 Accepting new patients
I Can Too Learning Center, Inc Past Accepting new patients

Locations

95 Duesenberg Dr
Westlake Village, CA 91362
Phone (805) 413-3300

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.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1871755637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 PARKMOOR AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282422",
            "telephone_number": "408-241-9911",
            "fax_number": "408-241-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 PARKMOOR AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282422",
            "telephone_number": "408-241-9911",
            "fax_number": "408-241-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE PERIO",
        "first_name": "MARCY",
        "middle_name": "CARMEN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "10911",
            "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 Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.