Doctor profile · Federal record
Dr. Kelley Park, DPT
Physical Therapist · Physical Therapist · San Rafael, CA
- NPI 1750693115
- 16 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1099 D St Ste 105
San Rafael, CA 949012839
(415) 532-8335 - Mailing address
-
454 Forest Ave
Palo Alto, CA 943012608
Credentials & registration
- NPI registered
- July 2010 — 16 yrs on file
- Profile last updated
- March 14, 2020
- Specialty taxonomy
- 225100000X — NUCC code
- State licenses (2)
- California #40661 · Illinois #070017799
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1750693115. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,402
Distinct HCPCS
10
Medicare allowed
$123,681
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97530 |
Therapy procedure using functional activities | 1,086 | 212 | $35 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,010 | 193 | $24 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 888 | 187 | $28 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 742 | 165 | $21 | |
97150 |
Therapy procedure in a group setting | 306 | 90 | $14 | |
G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 120 | 39 | $9 | |
97535 |
Training for self-care or home management, each 15 minutes | 115 | 76 | $28 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 70 | 70 | $109 | |
97164 |
Re-evaluation for physical therapy, typically 20 minutes | 39 | 34 | $71 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 26 | 26 | $100 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 300. This provider delivers 15× the peer median.Frequently asked questions
What is Dr. Kelley Park's medical specialty?
Dr. Kelley Park practices Physical Therapist in San Rafael, CA.
Where does Dr. Kelley Park practice?
Dr. Kelley Park practices at 1099 D St Ste 105, San Rafael, CA 949012839. Office phone: 4155328335.
What is Dr. Kelley Park's NPI?
Dr. Kelley Park's National Provider Identifier (NPI) is 1750693115, issued by NPPES.
What procedures does Dr. Kelley Park commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using functional activities (HCPCS 97530); Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112). Source: CMS Medicare Physician & Other Practitioners file.