Individual provider Active NPI

Kerri J Colbert, OTL,CHT

  • Hand Occupational Therapist
  • Capitola, CA
National Provider Identifier
1902398852
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT5535 Issued in CA
Practice address
1715 42ND Ave
Capitola, CA 95010-3535
Phone
(831) 234-5904
Fax
(831) 480-1321
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT5535 CA Primary

Addresses

Primary practice location

1715 42ND Ave
Capitola, CA 95010-3535

Mailing address

650 Tabor Dr
Scotts Valley, CA 95066-2843
Phone (831) 234-5904

Other practice location 1

1529 Seabright Ave
Santa Cruz, CA 95062-2528
Phone (831) 458-6230

Other names 1

  • Kerri J Kiely Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180706001633 CA Practitioner - Occupational Therapist in Private Practice 7315293289 Reassigns benefits to 1 organization
Practice locations: Capitola, CA

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1529 Seabright Ave
Santa Cruz, CA 95062-2528
Phone (831) 458-6230

1715 42ND Ave
Suite B
Capitola, CA 95010-3557
Phone (831) 222-1686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT5535CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Mar 18, 2019 Accepting new patients
Therapy in Your Home - OT, PT, St Occupational Therapist CurrentSince Oct 18, 2018 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 18, 2019 Accepting new patients
Hand Therapy Capitola Occupational Therapist CurrentSince Aug 18, 2024 Accepting new patients

Locations

1715 42nd Ave
Ste B
Capitola, CA 95010
Phone (831) 222-1686

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

795 El Camino Real
#1112
Palo Alto, CA 94301

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

1529 Seabright Ave
Santa Cruz, CA 95062
Phone (831) 458-6230

2128 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 425-0727

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Organizations & group practices 4

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1902398852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 TABOR DR",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950662843",
            "telephone_number": "831-234-5904",
            "fax_number": "831-480-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 42ND AVE",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103535",
            "telephone_number": "831-234-5904",
            "fax_number": "831-480-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1529 Seabright Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950622528",
            "country_code": "US",
            "telephone_number": "831-458-6230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "KERRI",
        "middle_name": "J",
        "credential": "OTL,CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT5535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "KIELY",
            "middle_name": "J",
            "credential": "OCCUPATIONAL THERAPI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; 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.