Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Play Therapy

Organization Feeding, Eating & Swallowing Occupational Therapist · NPI 1730066960

Pediatric Play Therapy is a Feeding, Eating & Swallowing Occupational Therapist in San Jose, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

2109 Otoole Ave Ste M
San Jose, CA 95131-1338
Phone: (408) 573-7720
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X
Feeding, Eating & Swallowing Occupational Therapist Taxonomy 225XF0002X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1730066960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sue Henry — President · (408) 218-4136
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address2109 Otoole Ave Ste M, San Jose, CA 95131-1338

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