Caitlin Kaczynski, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

21615 Issued in FL

Practice address

1932 14TH St Unit B
Santa Monica, CA 90404-4605

Phone

(310) 344-2276

NPI assigned

Sep 28, 2019

Last updated

Mar 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• OT 4 Kidz, Inc

  • Specialist
  • Santa Monica, CA
  • NPI 1275731242
  NPD (past)

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

{
    "created_epoch": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1417508623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 24TH ST APT B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 14TH ST UNIT B",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044605",
            "telephone_number": "310-344-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZYNSKI",
        "first_name": "CAITLIN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-28",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21615",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "20440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caitlin@ot4kidstlc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Santa Monica",
            "address_1": "1932 14th St Unit B",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904044605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pawan Kumar Juneja, MD
• Ja Hyun Jung
• Isabella Jusay, NP
• Rita Kachru, M.D.
• Jonathan Kachurka
• Brian Eugene Kadera, M.D.
• Monica Farassat Kadkhoda, M.A.
• Kayla Danielle Kafka-Peterson, RN
• David Benjamin Kagan, MD
• Max Kahn, M.D.

• Occupational Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.