Individual provider Active NPI

Kelley O'Leary

  • Occupational Therapist
  • Chula Vista, CA
National Provider Identifier
1699511147
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
26601 Issued in CA
Practice address
1020 Tierra del Rey # a-1
Chula Vista, CA 91910-7886
Phone
(619) 585-7104
NPI assigned
Jul 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 26601 CA Primary

Addresses

Primary practice location

1020 Tierra del Rey # a-1
Chula Vista, CA 91910-7886

Mailing address

8428 Denton St
La Mesa, CA 91942-2711
Phone (619) 248-1953

Other practice location 1

1640 Newport Blvd Ste 260
Costa Mesa, CA 92627-7736
Phone (949) 335-7967

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903000744 CA Practitioner - Occupational Therapist in Private Practice 1850830050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

1020 Tierra del Rey
Suite a 1
Chula Vista, CA 91910-7886
Phone (619) 585-7104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc Occupational Therapist CurrentSince Jul 21, 2025 Accepting new patients
California Rehab and Sports Therapy CurrentSince Jul 7, 2024 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Current Accepting new patients
MDRS Spine & Sport, Inc Occupational Therapist CurrentSince Jul 21, 2025 Accepting new patients
California Rehab & Sports Therapy CurrentSince Jul 7, 2024 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Past Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Past Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

471 W Lambert Rd
Ste 106
Brea, CA 92821
Phone (714) 255-8877

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

415 Carmen Dr
Camarillo, CA 93010
Phone (805) 322-9083

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

910 Hale Pl
Ste 115
Chula Vista, CA 91914
Phone (619) 369-2667

255 E Rincon St
Ste 112
Corona, CA 92879
Phone (951) 523-8509

1640 Newport Blvd
Ste 260
Costa Mesa, CA 92627
Phone (949) 335-7967

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

26302 La Paz Rd
Ste 105
Mission Viejo, CA 92691
Phone (949) 206-1700

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800

5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1699511147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8428 DENTON ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422711",
            "telephone_number": "619-248-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TIERRA DEL REY # A-1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107886",
            "telephone_number": "619-585-7104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Newport Blvd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926277736",
            "country_code": "US",
            "telephone_number": "949-335-7967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "KELLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "26601",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 15, 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.

Verify at the official NPI Registry.