| Kelley Kathryn O'connor Park, DPT | |
|
1099 D St Ste 105, San Rafael, CA 94901-2839 | |
| (415) 532-8335 | |
| Not Available |
| Full Name | Kelley Kathryn O'connor Park |
|---|---|
| Gender | Female |
| Speciality | Physical Therapy |
| Experience | 18 Years |
| Location | 1099 D St Ste 105, San Rafael, California |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750693115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070017799 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 40661 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select Cal Physical Therapy Pc | 4789070699 | 124 |
| Provider Name | Physiotherapy Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790829240 PECOS PAC ID: 3577470442 Enrollment ID: O20040524000776 |
| Provider Name | Physiotherapy Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1154465607 PECOS PAC ID: 3577470442 Enrollment ID: O20040816001194 |
| Provider Name | Physiotherapy Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003822586 PECOS PAC ID: 3577470442 Enrollment ID: O20080328000335 |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1972572568 PECOS PAC ID: 9537076401 Enrollment ID: O20130509000099 |
| Provider Name | Select Cal Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417619008 PECOS PAC ID: 4789070699 Enrollment ID: O20220401000572 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Kathryn O'connor Park, DPT 454 Forest Ave, Palo Alto, CA 94301-2608 Ph: (650) 331-3700 | Kelley Kathryn O'connor Park, DPT 1099 D St Ste 105, San Rafael, CA 94901-2839 Ph: (415) 532-8335 |
Regents Of The University Of California Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Civic Center Dr Ste 206, San Rafael, CA 94903 Phone: 415-353-7598 | |
Leela Satyendra, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4050 Redwood Hwy Ste G, San Rafael, CA 94903 Phone: 415-479-7100 | |
Dr. Rachel Wolfe, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 N San Pedro Rd, 3rd Floor, San Rafael, CA 94903 Phone: 415-491-4751 Fax: 415-491-4754 | |
Cale Engelhardt, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2543 | |
Ms. Mary Margaret Schmidt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2883 | |
Nancy Aduna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 Del Ganado Rd, San Rafael, CA 94903 Phone: 415-479-1209 Fax: 415-446-4476 | |
Anne B. Snyder, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4330 Redwood Hwy., Suite 350, San Rafael, CA 94903 Phone: 415-883-0803 Fax: 415-883-0803 |