MOIRA SULLIVAN


Address: 2066 Clarmar Way Ste A, San Jose, CA 95128-1715
Phone: 4082807712

MOIRA SULLIVAN (NPI# 1124189394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 3384 CA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2066 CLARMAR WAY STE A
City SAN JOSE
State CA
Zip Code 95128-1715

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City SAN JOSE
Zip Code 95128

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Dataset Information

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.

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