Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEFFREY WAN OTR/L
NPI 1639715014
Occupational Therapist in Sacramento, CA

Active since November 21, 2019
4301 X ST, SACRAMENTO, CA 95817(999) 999-9999 Get Directions Write a Review

NPPES record last updated: November 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 8, 2026, Nov 21, 2019 (2 updates tracked since 2019).

About Jeffrey Wan Otr/l NPPES

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

JEFFREY WAN OTR/L (NPI 1639715014) is an individual occupational therapist in Sacramento, California, licensed in California (OT15527) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1639715014
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameJEFFREY WANCredential: OTR/L
Location Address4301 X STSacramento, CA 95817-2214
Mailing Address3024 Huntington WaySacramento, CA 95818-3584
Sole ProprietorYes
Enumeration DateNovember 21, 2019
Last NPPES UpdateNovember 8, 20262 updates tracked since enumeration
NPPES CertifiedNovember 8, 2026
✔ NPI 1639715014 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 · OT15527
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.
4301 X ST, Sacramento, CA 95817

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
4301 X ST
SACRAMENTO, CA 95817
Dietitian, Registered (Nutrition, Pediatric)
4301 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4301 X ST
SACRAMENTO, CA 95817
Nurse Practitioner (Acute Care)
4301 X ST
SACRAMENTO, CA 95817
Nurse Anesthetist, Certified Registered
4301 X ST
SACRAMENTO, CA 95817
Dietitian, Registered
4301 X ST
SACRAMENTO, CA 95817
Anesthesiology
4301 X ST
SACRAMENTO, CA 95817
Pediatrics
4301 X ST
SACRAMENTO, CA 95817

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 Jeffrey Wan's NPI number?

The NPI number for Jeffrey Wan is 1639715014. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Where is Jeffrey Wan located?

Jeffrey Wan practices at 4301 X St, Sacramento, CA 95817. The listed phone number is (999) 999-9999.

What is Jeffrey Wan'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 Jeffrey Wan was last updated on November 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.