CALLAWAY KENNEDY OTR/L
NPI 1639941479
Occupational Therapist in Cypress, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Callaway Kennedy Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Callaway Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Solana Beach, CA 92075
- Reassigned Medicare billing, California enrollment
- 65 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Callaway Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Callaway Kennedy reassigns Medicare benefits to Rise Physical Therapy Inc (Solana Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Callaway Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Callaway Kennedy was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.