Active NPI
Kathleen B O'Brien, OT
- Occupational Therapist
- Auburn, CA
National Provider Identifier
1770689374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1457
- Practice address
- 152 Maple St Suite a
Auburn, CA 95661-3087 - Phone
- (530) 308-3161
- NPI assigned
- Sep 15, 2006
- Last updated
- May 7, 2023
- 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 | OT1457 | CA | Primary |
Addresses
Primary practice location
152 Maple St Suite a
Auburn, CA 95661-3087
Mailing address
180 Brook Road
Auburn, CA 95603
Phone (530) 308-3161
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1457 | CA | MD | Occupational Therapy Assistant |
| OT1457 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683417600000",
"number": "1770689374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 BROOK ROAD",
"city": "AUBURN",
"state": "CA",
"postal_code": "95603",
"telephone_number": "530-308-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 MAPLE ST SUITE A",
"city": "AUBURN",
"state": "CA",
"postal_code": "956613087",
"telephone_number": "530-308-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "KATHLEEN",
"middle_name": "B",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2023-05-07",
"certification_date": "2023-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT1457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.