MRS. COURTNEY R KAVANAUGH OTR
NPI 1780115691
Occupational Therapist in South Bend, IN

Active since March 22, 2017
17390 DUGDALE DR, SOUTH BEND, IN 46635(574) 400-2169(765) 450-6664 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 1, 2017, Mar 22, 2017 (3 updates tracked since 2017).

About Mrs. Courtney R Kavanaugh Otr NPPES

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

MRS. COURTNEY R KAVANAUGH OTR (NPI 1780115691) is an individual occupational therapist in South Bend, Indiana, licensed in Indiana (31006277) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1780115691
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. COURTNEY R KAVANAUGHCredential: OTR
Location Address17390 DUGDALE DRSouth Bend, IN 46635-1512
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (885) 324-0885 · Fax (765) 450-6664
Fax(765) 450-6664
Sole ProprietorNo
Enumeration DateMarch 22, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1780115691 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
Licenses Licensed in IN · 31006277 Licensed in IN · 31006277A
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.
17390 DUGDALE DR, South Bend, IN 46635

Other Identifiers 2

Medicaid200196020AIN
Other378069Board Certification

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Behavior Analyst
17390 DUGDALE DR
SOUTH BEND, IN 46635
Behavior Analyst
17390 DUGDALE DR
SOUTH BEND, IN 46635
Speech-Language Pathologist
17390 DUGDALE DR
SOUTH BEND, IN 46635
Behavior Analyst
17390 DUGDALE DR
SOUTH BEND, IN 46635
Speech-Language Pathologist
17390 DUGDALE DR
SOUTH BEND, IN 46635
Behavior Analyst
17390 DUGDALE DR
SOUTH BEND, IN 46635

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 Courtney Kavanaugh's NPI number?

The NPI number for Courtney Kavanaugh is 1780115691. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Courtney Kavanaugh located?

Courtney Kavanaugh practices at 17390 Dugdale Dr, South Bend, IN 46635. The listed phone number is (574) 400-2169.

What is Courtney Kavanaugh's specialty?

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

What insurance does Courtney Kavanaugh accept?

Health plans from CareSource list Courtney Kavanaugh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Courtney Kavanaugh was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.