Kelley Kathryn O'connor Park, DPT - Medicare Physical Therapist in San Rafael, CA

Kelley Kathryn O'connor Park, DPT is a medicare enrolled "Physical Therapist" provider in San Rafael, California. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Select Cal Physical Therapy Pc and her current practice location is 1099 D St Ste 105, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 532-8335.

Kelley Kathryn O'connor Park is licensed to practice in California (license number 40661) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1750693115.

Contact Information

Kelley Kathryn O'connor Park, DPT
1099 D St Ste 105,
San Rafael, CA 94901-2839
(415) 532-8335
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelley Kathryn O'connor Park
GenderFemale
SpecialityPhysical Therapy
Experience18 Years
Location1099 D St Ste 105, San Rafael, California
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelley Kathryn O'connor Park graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1750693115
  • Provider Enumeration Date: 07/13/2010
  • Last Update Date: 03/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6002075314
  • Enrollment ID: I20140819000486

Medical Identifiers

Medical identifiers for Kelley Kathryn O'connor Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750693115NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 070017799 (Illinois)Secondary
225100000XPhysical Therapist 40661 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Select Cal Physical Therapy Pc4789070699120

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelley Kathryn O'connor Park allows following entities to bill medicare on her behalf.
Provider NamePhysiotherapy Associates Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1790829240
PECOS PAC ID: 3577470442
Enrollment ID: O20040524000776
Provider NamePhysiotherapy Associates Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1154465607
PECOS PAC ID: 3577470442
Enrollment ID: O20040816001194
Provider NamePhysiotherapy Associates Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1003822586
PECOS PAC ID: 3577470442
Enrollment ID: O20080328000335
Provider NameSelect Cal Physical Therapy Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1417619008
PECOS PAC ID: 4789070699
Enrollment ID: O20220401000572

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelley Kathryn O'connor Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Physical Therapist in San Rafael, CA

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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.