JAE YOON IM
NPI 1215713748
Occupational Therapist in Burbank, CA

Active since August 31, 2023
4100 W ALAMEDA AVE # 346, BURBANK, CA 91505(818) 900-6565 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2026, Sep 4, 2023, Aug 31, 2023 (3 updates tracked since 2023).

About Jae Yoon Im NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAE YOON IM (NPI 1215713748) is an individual occupational therapist in Burbank, California, licensed in California (OT23705) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1215713748
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameJAE YOON IM
Location Address4100 W ALAMEDA AVE # 346Burbank, CA 91505-4195
Mailing Address940 Elden Ave Unit 302Los Angeles, CA 90006-5845 · (310) 386-7768
Sole ProprietorNo
Enumeration DateAugust 31, 2023
Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
NPI 1215713748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in CA · OT23705
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.
4100 W ALAMEDA AVE # 346, Burbank, CA 91505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Yoon Im's NPI number?

The NPI number for Jae Yoon Im is 1215713748. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Where is Jae Yoon Im located?

Jae Yoon Im practices at 4100 W Alameda Ave # 346, Burbank, CA 91505. The listed phone number is (818) 900-6565.

What is Jae Yoon Im's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Jae Yoon Im was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.