KELLEY GRACE HERSKOVIC MRS.
NPI 1154864403
Occupational Therapist in Santa Rosa, CA

Active since November 18, 2016
1165 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 637-3276 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelley Grace Herskovic Mrs. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY GRACE HERSKOVIC MRS. (NPI 1154864403) is an individual occupational therapist in Santa Rosa, California, licensed in California (11709) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1154864403
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKELLEY GRACE HERSKOVICCredential: MRS.
Location Address1165 MONTGOMERY DRSanta Rosa, CA 95405
Mailing Address324 Maria DrPetaluma, CA 94954
Sole ProprietorNo
Enumeration DateNovember 18, 2016
NPI 1154864403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in CA · 11709
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1165 MONTGOMERY DR, Santa Rosa, CA 95405

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Occupational Therapist (Physical Rehabilitation)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Registered Nurse (Medical-Surgical)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology (Pain Medicine)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Pharmacist
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Emergency Medicine
1165 MONTGOMERY DR, SANTA ROSA MEMORIAL HOSPITAL
SANTA ROSA, CA 95405
Emergency Medicine
1165 MONTGOMERY DR
SANTA ROSA, CA 95405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Herskovic's NPI number?

The NPI number for Kelley Herskovic is 1154864403. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Where is Kelley Herskovic located?

Kelley Herskovic practices at 1165 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (707) 637-3276.

What is Kelley Herskovic's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Kelley Herskovic was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.