Active NPI
Kelley O'Leary
- Occupational Therapist
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 26601
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDRS Spine & Sport, Inc | Occupational Therapist | Current | Accepting new patients |
| California Rehab and Sports Therapy | Current | Accepting new patients | |
| California Rehabilitation & Sports Therapy a California Physical Ther | Current | Accepting new patients | |
| MDRS Spine & Sport, Inc | Occupational Therapist | Current | Accepting new patients |
| California Rehab & Sports Therapy | Current | 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.
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1952394603
CA, Occupational Therapist
-
- Multi-Specialty Clinic/Center
- Mission Viejo, CA
- NPI 1386696409
CA
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1508540279
-
- Physical Therapist
- Lancaster, CA
- NPI 1831815760
-
- Physical Therapy Clinic/Center
- Corona, CA
- NPI 1255986873
-
- Physical Therapy Clinic/Center
- Camarillo, CA
- NPI 1669066940
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.