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 | 120 |
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 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 | |
Julia Sylvie Betchart, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Los Gamos Dr, San Rafael, CA 94903 Phone: 415-444-2000 |