Kelley Elizabeth O'Brien, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

88230 Issued in CA

Practice address

735C Center Blvd
Fairfax, CA 94930-1744

Phone

(415) 302-1602

NPI assigned

Jun 24, 2024

Last updated

Jun 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1821832924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 HILL AVE",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949301713",
            "telephone_number": "415-302-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735C CENTER BLVD",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949301744",
            "telephone_number": "415-302-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KELLEY",
        "middle_name": "ELIZABETH",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "88230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Mullin, PH. D
• Mary Norton, L.AC.
• Emilia Olavarrieta
• Giovanna A. Otfinowski
• Lauren Parish, LAC, DAC
• Gislene Maria Peral
• Maria Quintana-Pilling, FNLP

• Massage Therapist in Fairfax, CA
• Providers in Fairfax, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.