Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Kelly, OTR/L

Individual provider Occupational Therapist · NPI 1821535741

Shannon Kelly, OTR/L is an Occupational Therapist in Rocklin, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

6960 Destiny Dr Ste 112
Rocklin, CA 95677-2995
Phone: (916) 415-0119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 16889 (CA)

Record details

NPI number1821535741
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJanuary 30, 2017
Last updated in NPPESJanuary 30, 2017

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