Active NPI
Kathleen Anne Cullen-Pegues, OTR/L
- Occupational Therapist
- Pembroke Pines, FL
National Provider Identifier
1104005164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT8733
- Practice address
- 699 SW 159TH Ter
Pembroke Pines, FL 33027-1140 - Phone
- (954) 471-6119
- NPI assigned
- Oct 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT8733 | FL | Primary |
Addresses
Primary practice location
699 SW 159TH Ter
Pembroke Pines, FL 33027-1140
Mailing address
699 SW 159TH Ter
Pembroke Pines, FL 33027-1140
Phone (954) 471-6119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT8733 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bit-by-Bit,Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1104005164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699 SW 159TH TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271140",
"telephone_number": "954-471-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 SW 159TH TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271140",
"telephone_number": "954-471-6119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN-PEGUES",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-26",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT8733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.