Active NPI
Kelci Jones, OTR/L
- Occupational Therapist
- Chula Vista, CA
National Provider Identifier
1114500832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT21593
- Practice address
- 880 3Rd Ave Ste a
Chula Vista, CA 91911-1305 - Phone
- (619) 618-2035
- NPI assigned
- Apr 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT21593 | CA | Primary |
Addresses
Primary practice location
880 3Rd Ave Ste a
Chula Vista, CA 91911-1305
Mailing address
3110 Deerflower Rd
San Diego, CA 92115-8223
Other practice location 1
3110 Deerflower Rd
San Diego, CA 92115-8223
Phone (904) 214-5852
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338647 | Other | THE NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY | |
| OT21593 | Other | CA | CALIFORNIA BOARD OF OCCUPATIONAL THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21593 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| OT21593 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Physical Therapy Services, PC | Occupational Therapist | Current | Accepting new patients |
Locations
9800 Glen Center Dr
San Diego, CA 92131
Phone (858) 444-8500
12515 Springhurst Dr
San Diego, CA 92128
Phone (858) 771-3694
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Beverly Hills, CA
- NPI 1285160788
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1114500832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3110 DEERFLOWER RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921158223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 3RD AVE STE A",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919111305",
"telephone_number": "619-618-2035"
}
],
"practiceLocations": [
{
"address_1": "3110 Deerflower Rd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921158223",
"country_code": "US",
"telephone_number": "904-214-5852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "KELCI",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-30",
"last_updated": "2021-04-30",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT21593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
"identifier": "338647",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
"identifier": "OT21593",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.