Deanne Marie Kelly, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4380 Issued in CA

Practice address

2001 Winward Way Ste 200
San Mateo, CA 94404-4019

Phone

(650) 931-1854

NPI assigned

Mar 18, 2025

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1922808971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 POST ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153508",
            "telephone_number": "650-931-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WINWARD WAY STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944044019",
            "telephone_number": "650-931-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DEANNE",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "4380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rucha Kelkar, DPT
• Kirsten Kell, MFT
• Anni Kelley-Day, LPCC
• Cenaan Kelley
• Camille Evelyn Kellstedt
• Hallan Kelly, NP
• Kimberly Kelly
• Richard Arthur Kelly III
• Kari Kendzerski
• Kennewick Radiology Group, PC

• Occupational Therapist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.