Healthcare Provider Details

I. General information

NPI: 1821884404
Provider Name (Legal Business Name): SKYE O'CONNELL OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 IRIS DR
SALINAS CA
93906-3514
US

IV. Provider business mailing address

359 DUQUETTE RD
CADYVILLE NY
12918-2130
US

V. Phone/Fax

Practice location:
  • Phone: 831-449-1515
  • Fax:
Mailing address:
  • Phone: 518-534-9888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number030137
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-2025-0078
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT28265
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: