Individual provider · Type 1 NPI

Jennifer Costa, OTR/L

Occupational Therapist · San Jose, CA

NPI number 1104238609 Active

Practice location

1290 Ridder Park Dr
San Jose, CA 95131-2304

Call (408) 831-1635 Map

Mailing address

624 Summerwood Dr
Brentwood, CA 94513-1872

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT 8018 (CA)

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…

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About NPI 1104238609

Jennifer Costa, OTR/L's National Provider Identifier is 1104238609, issued on Jun 2, 2014. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in San Jose, CA. The record was last updated on Jun 25, 2026.