IndividualActive
Kasey Kostyshak, MS, OTR/L
NPI 1295450666 · Occupational Therapist · San Carlos, CA
Provider details
- NPI number
- 1295450666
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 23306 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 El Camino Real
San Carlos, CA 94070-2408
Phone: (650) 200-6154
Approximate (ZIP-level) locationGet directions
Mailing address
25190 Cypress Ave Apt 211
Hayward, CA 94544-2216
Registry dates
- Enumerated
- 2022-10-07
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.