Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sadie Phan, MS, OTR/L

Individual provider Occupational Therapist · NPI 1558980839

Sadie Phan, MS, OTR/L is an Occupational Therapist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

751 S Bascom Ave
San Jose, CA 95128-2604
Phone: (408) 885-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 19776 (CA)

Record details

NPI number1558980839
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorYes
NPI enumeratedApril 16, 2020
Last updated in NPPESDecember 4, 2022
Certification dateDecember 4, 2022

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