Kaitlyn Anne Cavanaugh, MS, OTR/L, CLC

Primary specialty

Feeding, Eating & Swallowing Occupational TherapistTaxonomy code 225XF0002X

License

0004034 Issued in CO

Practice address

19769 Summerset LN
Parker, CO 80138-8077

Phone

(623) 606-6599

NPI assigned

Sep 18, 2012

Last updated

Jul 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Art of Eating, LLC

  • Feeding, Eating & Swallowing Occupational Therapist
  • Parker, CO
  • NPI 1386350759
  Medicare reassignment NPD Authorized official
• Mealtime Connections, LLC

  • Specialist
  • Tucson, AZ
  • NPI 1912035742

  Feeding, Eating & Swallowing

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1063762920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19769 SUMMERSET LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388077",
            "telephone_number": "623-606-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19769 SUMMERSET LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388077",
            "telephone_number": "623-606-6599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16468 E Rice Pl",
            "address_2": "Unit B",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800157064",
            "country_code": "US",
            "telephone_number": "623-606-6599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "KAITLYN",
        "middle_name": "ANNE",
        "credential": "MS, OTR/L, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "0004034",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "CO",
            "license": "0004034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000165902",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catholic Health Initiatives Colorado (The Sports Center, CommonSpirit Health)
• Catholic Health Initiatives Colorado (The Sports Center Spine, CommonSpirit)
• Amanda Barron Cava, M.D.
• Laura Cavalcanti
• Whitney Cavanah, MA, LPCC
• William Cavell
• Ccdi Parker PDC PLLC (Cherry Creek Dental Implant)
• Elizabeth Ann Briscoe Cedrone, PA-C
• Cassandra J Celentano
• Center at Lincoln, LLC (The Center at Lincoln)

• Occupational Therapist in Parker, CO
• Providers in Parker, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.