Healthcare Provider Details

I. General information

NPI: 1891361663
Provider Name (Legal Business Name): OT PARK OCCUPATIONAL AND PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 DIGITAL DR
MORGAN HILL CA
95037-2896
US

IV. Provider business mailing address

300 DIGITAL DR
MORGAN HILL CA
95037-2896
US

V. Phone/Fax

Practice location:
  • Phone: 86-079-9674
  • Fax:
Mailing address:
  • Phone: 408-607-9967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: HIRAL KHATRI
Title or Position: FOUNDER AND CEO
Credential: OTD, OTR/L
Phone: 408-607-9967