Individual provider Active NPI

Kelsey Marie Danley

  • Speech-Language Pathologist
  • Sylmar, CA
National Provider Identifier
1467042788
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14468 Issued in CA
Practice address
12260 Foothill Blvd
Sylmar, CA 91342-6001
Phone
(818) 899-9545
NPI assigned
Jan 20, 2021
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14468 CA Primary

Addresses

Primary practice location

12260 Foothill Blvd
Sylmar, CA 91342-6001

Mailing address

4181 Fair Ave
North Hollywood, CA 91602-3315
Phone (609) 694-5446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221024002468 CA Practitioner - Qualified Speech Language Pathologist 7719353234 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14468CAMDCounselor
32391CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Coast Rehab Physical Therapy Inc Speech-Language Pathologist CurrentSince Jun 18, 2023 Accepting new patients
Trellis Physical Therapy a Professional Rehab Group Inc. Past Accepting new patients

Locations

1350 S El Camino Real
Encinitas, CA 92024
Phone (760) 479-1818

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1467042788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 FAIR AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023315",
            "telephone_number": "609-694-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12260 FOOTHILL BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913426001",
            "telephone_number": "818-899-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANLEY",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.