Active NPI
Lydia Clark Seely
- Occupational Therapist
- Grass Valley, CA
National Provider Identifier
1407796873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12579
- Practice address
- 401 Washington St
Grass Valley, CA 95945-6333 - Phone
- (530) 263-7707
- NPI assigned
- Mar 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 12579 | CA | Primary |
Addresses
Primary practice location
401 Washington St
Grass Valley, CA 95945-6333
Mailing address
401 Washington St
Grass Valley, CA 95945-6333
Phone (530) 263-7707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12579 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774656000000",
"number": "1407796873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 WASHINGTON ST",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456333",
"telephone_number": "530-263-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 WASHINGTON ST",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456333",
"telephone_number": "530-263-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEELY",
"first_name": "LYDIA",
"middle_name": "CLARK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-28",
"last_updated": "2026-03-28",
"certification_date": "2026-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "CA",
"license": "12579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
- Peggy Scribner
- Emily Berry Seagraves
- Karen Seagraves
- Nina Sealander
- Sean Michael Rockwell, DDS. a Professional Dental Corporation (The Dental Wellness Center of Grass Valley)
- Corey Adam Seigworth
- Rebecca Ann Seijas-Ball, CRNA
- Seivert Physical Therapy PC
- John Charles Seivert, MS PT GDMT
- Tammy Self, RDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.