MEDICARE: HANNAH KELLEY

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	28751	CA

General Provider Information

NPI Number	:	1851244438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH KELLEY

Provider Business Mailing Address
First Line	:	3454 COASTAL OAK DR
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-7239
Country	:	US
Telephone Number	:	805-304-0685
Fax Number	:

Provider Business Practice Location Address
First Line	:	3454 COASTAL OAK DR
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-7239
Country	:	US
Telephone Number	:	805-304-0685
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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Directions to “ HANNAH KELLEY ” Practice Location

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