Marla Overton Kelly, MOT, OTR
Individual provider Active NPI Occupational Therapist · Tiburon, CA
NPI 1215080239 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1215080239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1066 (CA)
- Practice address
- 1 Blackfield Dr
Tiburon, CA 94920-2053 - Phone
- (415) 383-6789
- NPI assigned
- Jan 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1066 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Physical Therapy | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1066 | CA | Yes |
| Pediatric Occupational Therapist | 225XP0200X | 1066 | CA |
Addresses
Primary practice location
1 Blackfield Dr
Tiburon, CA 94920-2053
Mailing address
44 Via San Fernando
Tiburon, CA 94920-2061
Phone (415) 789-5169
Other providers in Tiburon, CA
- Inmar LLC
- Sig-Britt Anna Ivey
- Jay Labourene
- Jay Labourene
- Sara Louise Johansen
- Noah Kempler
- Kaitlin Anne King
- KJN Therapy
- Jay I. La Bourene
- Lori Andreis Bergeron
All providers in Tiburon, CA · Occupational Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.