Individual provider Active NPI

Kalena Burnett, OTR/L

  • Pediatric Occupational Therapist
  • Irvine, CA
National Provider Identifier
1477130144
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
1063 McGaw Ave Ste 100
Irvine, CA 92614-5554
Phone
(714) 834-1111
NPI assigned
Mar 26, 2021
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 21216 CA
Occupational Therapist 225X00000X OT61160425 WA
Occupational Therapist 225X00000X OC016630 PA
Occupational Therapist 225X00000X U1-0002165 DE
Occupational Therapist 225X00000X 46TR00913700 NJ
Pediatric Occupational Therapist 225XP0200X NU Primary

Addresses

Primary practice location

1063 McGaw Ave Ste 100
Irvine, CA 92614-5554

Mailing address

1063 McGaw Ave Ste 100
Irvine, CA 92614-5554
Phone (714) 834-1111

Other practice location 1

217 Buckingham Pl Apt 3
Philadelphia, PA 19104-5338
Phone (310) 602-9980

Other practice location 2

525 Fayette St
Conshohocken, PA 19428-1702
Phone (610) 941-7020

Other practice location 3

14715 NE Bel Red Rd Ste 104
Bellevue, WA 98007-3940
Phone (425) 502-9440

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

LicenseStateTypeSpecialty
U1-0002165DEMDOccupational Therapist
46TR00913700NJMDOccupational Therapist
OC016630PAMDOccupational Therapist
OT61160425WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapeutic Services, LLC Pediatrics CurrentSince Feb 11, 2024 Accepting new patients
Kelly Services Inc Pediatrics CurrentSince Jan 26, 2025 Accepting new patients

Locations

525 Fayette St
Conshohocken, PA 19428
Phone (610) 941-7020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1477130144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 MCGAW AVE STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145554",
            "telephone_number": "714-834-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 MCGAW AVE STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145554",
            "telephone_number": "714-834-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Buckingham Pl Apt 3",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191045338",
            "country_code": "US",
            "telephone_number": "310-602-9980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Fayette St",
            "address_purpose": "LOCATION",
            "city": "Conshohocken",
            "state": "PA",
            "postal_code": "194281702",
            "country_code": "US",
            "telephone_number": "610-941-7020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14715 NE Bel Red Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980073940",
            "country_code": "US",
            "telephone_number": "425-502-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "KALENA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "21216",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61160425",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC016630",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0002165",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00913700",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.