Active NPI
Krista Kellenberger, OT
- Occupational Therapist
- Oceanside, CA
National Provider Identifier
1376785188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT3348
- Practice address
- 1674 Mustang Way
Oceanside, CA 92057-5611 - Phone
- (760) 579-2266
- NPI assigned
- Mar 26, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3348 | CA | |
| Occupational Therapist | 225X00000X | OT3348 | CA | Primary |
Addresses
Primary practice location
1674 Mustang Way
Oceanside, CA 92057-5611
Mailing address
1674 Mustang Way
Oceanside, CA 92057-5611
Phone (760) 579-2266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Loma Linda University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
403 W 5TH Ave
Suite C
Escondido, CA 92025-4851
Phone (760) 536-2377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Physical Therapy Providers & Wellness Inc. | Current | Accepting new patients | |
| Active Life Rehab, Inc. | Past | Accepting new patients | |
| In-Home Physical Therapy PC | Past | Accepting new patients |
Locations
403 W 5th Ave
Ste C
Escondido, CA 92025
Phone (760) 536-2377
1611 S Melrose Dr
#311
Vista, CA 92081
1611 S Melrose Dr
Ste A
Vista, CA 92081
Phone (760) 230-3451
Organizations & group practices 3
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
- Escondido, CA
- NPI 1073999264
-
- Geriatric Physical Therapist
- Escondido, CA
- NPI 1346295805
-
- Multi-Specialty Clinic/Center
- Encinitas, CA
- NPI 1588800874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1376785188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1674 MUSTANG WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920575611",
"telephone_number": "760-579-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1674 MUSTANG WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920575611",
"telephone_number": "760-579-2266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLENBERGER",
"first_name": "KRISTA",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-26",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "3348",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT3348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.