CALLAWAY KENNEDY OTR/L
NPI 1639941479
Occupational Therapist in Cypress, CA

Active since October 25, 2023
11205 KNOTT AVE STE E, CYPRESS, CA 90630(714) 893-7399 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Callaway Kennedy Otr/l NPPES

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

CALLAWAY KENNEDY OTR/L (NPI 1639941479) is an individual occupational therapist in Cypress, California, licensed in California (25556) and active in the NPI registry since October 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1639941479
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameCALLAWAY KENNEDYCredential: OTR/L
Location Address11205 KNOTT AVE STE ECypress, CA 90630-5489
Mailing Address11205 Knott Ave Ste ECypress, CA 90630-5489
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
NPI 1639941479 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 · 25556
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.

11205 KNOTT AVE STE E, Cypress, CA 90630

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Callaway Kennedy Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971951336
PECOS Enrollment IDI20231122002358

Other Providers at the Same Location NPPES 18

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

Speech-Language Pathologist
11205 KNOTT AVE STE E
CYPRESS, CA 90630
Speech-Language Pathologist
11205 KNOTT AVE STE E
CYPRESS, CA 90630
Physical Therapist (Pediatrics)
11205 KNOTT AVE STE E
CYPRESS, CA 90630
Occupational Therapist (Pediatrics)
11205 KNOTT AVE STE E
CYPRESS, CA 90630
Occupational Therapist (Pediatrics)
11205 KNOTT AVE STE E
CYPRESS, CA 90630
Occupational Therapist (Pediatrics)
11205 KNOTT AVE STE E
CYPRESS, CA 90630
Occupational Therapist (Pediatrics)
11205 KNOTT AVE STE E
CYPRESS, CA 90630
Speech-Language Pathologist
11205 KNOTT AVE STE E
CYPRESS, CA 90630

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 Callaway Kennedy's NPI number?

The NPI number for Callaway Kennedy is 1639941479. It was assigned to this individual provider in the NPPES registry on October 25, 2023.

Where is Callaway Kennedy located?

Callaway Kennedy practices at 11205 Knott Ave Ste E, Cypress, CA 90630. The listed phone number is (714) 893-7399.

What is Callaway Kennedy's specialty?

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

Is Callaway Kennedy enrolled in Medicare?

Yes. Callaway Kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Callaway Kennedy was last updated on October 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.