Active NPI
Kalena Burnett, OTR/L
- Pediatric Occupational Therapist
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 1063 McGaw Ave Ste 100
Irvine, CA 92614-5554 - Phone
- (714) 834-1111
- NPI assigned
- Mar 26, 2021
- Last updated
- Jun 14, 2022
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| U1-0002165 | DE | MD | Occupational Therapist |
| 46TR00913700 | NJ | MD | Occupational Therapist |
| OC016630 | PA | MD | Occupational Therapist |
| OT61160425 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapeutic Services, LLC | Pediatrics | Current | Accepting new patients |
| Kelly Services Inc | Pediatrics | Current | 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.
-
- Pediatric Occupational Therapist
- Conshohocken, PA
- NPI 1083477558
Pediatrics
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.