MEDICARE: SOCAL KIDS OCCUPATIONAL THERAPY, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1265390256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOCAL KIDS OCCUPATIONAL THERAPY, P.C.

Provider Business Mailing Address
First Line	:	6745 AMBERLY ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-2109
Country	:	US
Telephone Number	:	619-818-7529
Fax Number	:

Provider Business Practice Location Address
First Line	:	6745 AMBERLY ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-2109
Country	:	US
Telephone Number	:	619-818-7529
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SARA DAYE FEENEY
Credential	:	OTR/L
Telephone Number	:	619-818-7529

Provider Enumeration Date	:	01/10/2026
Last Update Date	:	01/10/2026

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