Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelley Kathryn O'Connor Park, DPT

Individual provider Physical Therapist · NPI 1750693115

Kelley Kathryn O'Connor Park, DPT is a Physical Therapist in San Rafael, California. Licensed in California and Illinois. Registered with an NPI since 2010.

Licensed in
CA, IL
In the registry since
2010
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1099 D St Ste 105
San Rafael, CA 94901-2839
Phone: (415) 532-8335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40661 (CA)
Physical Therapist Taxonomy 225100000X · Licence 070017799 (IL)

Record details

NPI number1750693115
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 13, 2010
Last updated in NPPESMarch 14, 2020
Certification dateMarch 14, 2020

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