Active NPI
Bryan Kelley
- Occupational Therapist
- Danville, CA
National Provider Identifier
1891154746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 16012
- Practice address
- 760 San Ramon Valley Blvd Ste 100
Danville, CA 94526-4057 - Phone
- (925) 743-8905
- NPI assigned
- Feb 21, 2016
- Sex
- Male
- 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 | 16012 | CA | Primary |
Addresses
Primary practice location
760 San Ramon Valley Blvd Ste 100
Danville, CA 94526-4057
Mailing address
760 San Ramon Valley Blvd Ste 100
Danville, CA 94526-4057
Phone (925) 743-8905
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16012 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Certified Hand Rehabilitation Center | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1456012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456012800000",
"number": "1891154746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 SAN RAMON VALLEY BLVD STE 100",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945264057",
"telephone_number": "925-743-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 SAN RAMON VALLEY BLVD STE 100",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945264057",
"telephone_number": "925-743-8905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "BRYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-21",
"last_updated": "2016-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "16012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.