MOIRA SULLIVAN (NPI# 1124189394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124189394 |
| Entity Type | Individual |
| Full Name | MOIRA SULLIVAN |
| Credential | MS, OTR/L |
| Practice Address |
2066 Clarmar Way Ste A San Jose CA 95128-1715 |
| Practice Telephone | 4082807712 |
| Practice Fax Number | 4082807721 |
| Mailing Telephone | (408) 280-7712 |
| Mailing Fax Number | 4082807721 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2017-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 3384 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2066 CLARMAR WAY STE A |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346802741 | Cathlin Burkey | Occupational Therapist | 2066 Clarmar Way Ste A, San Jose, CA 95128-1715 | 2019-07-05 |
| 1558871418 | Tatyana Shkolnikov Klebanov | Occupational Therapist | 2066 Clarmar Way Ste A, San Jose, CA 95128-1715 | 2017-10-05 |
| 1407379464 | Whole Kids Therapy Incorporated | Occupational Therapist | 2066 Clarmar Way Ste A, San Jose, CA 95128-1715 | 2017-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150435 | Brina Ai Nguyen | Occupational Therapist | 2756 White Acres Dr, San Jose, CA 95148-3691 | 2020-07-02 |
| 1912522160 | Laleh Pashmaki | Occupational Therapist | 420 Richfield Dr Apt 3, San Jose, CA 95129-1561 | 2020-06-13 |
| 1558980839 | Sadie Phan | Occupational Therapist | 619 Hermes Ct, San Jose, CA 95111-1041 | 2020-04-16 |
| 1831724087 | Nicole Sialaris | Occupational Therapist | 1487 Redmond Ave, San Jose, CA 95120-4859 | 2020-03-09 |
| 1790346914 | Andrea Frishberg | Occupational Therapist | 500 Race St Apt 2210, San Jose, CA 95126-5136 | 2019-06-27 |
| 1376018267 | Elaine Medina | Occupational Therapist | 1016 Woodholly Ct, San Jose, CA 95116-3151 | 2018-10-08 |
| 1306320015 | Kirti Gandhi | Occupational Therapist | 600 Epic Way Unit 441, San Jose, CA 95134-2768 | 2018-09-18 |
| 1154808962 | Claire Eliza Sherman | Occupational Therapist | 911 Bern Ct Ste 140, San Jose, CA 95112-1242 | 2018-07-24 |
| 1811404387 | Aliza-venessa Supnet | Occupational Therapist | 800 Charcot Ave Ste 110, San Jose, CA 95131-2211 | 2018-01-05 |
| 1912410077 | Christine Elizondo | Occupational Therapist | 5744 Chesbro Ave, San Jose, CA 95123-3023 | 2017-11-13 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.