Individual ProviderJim LeOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3801 Miranda Ave, Palo Alto, CA 94304-1290(650) 493-5000(408) 821-8412PECOS EnrollmentBased on the most recent information from CMS, provider Jim Le does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:05 AM.Profile DetailsProvider ID1265032783Provider TypeIndividualFull NameLe, JimTitleMr.CredentialOTR/LGenderMaleSole ProprietorNoEnumeration Date10/26/2020Last Updated10/26/2020Contact InformationPractice LocationPractice Address3801 Miranda Ave, Palo Alto, CA 94304-1290Phone(650) 493-5000FaxUnlisted FaxMailing LocationMailing Address191 Palm Ridge Ln, San Jose, CA 95123-2684Phone(408) 821-8412FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOT19922California