Individual provider Active NPI

Jennifer Kaye Caywood, OTR/L

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1497802045
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4102 Issued in AZ
Practice address
Therapy Play 4 Kidz, LLC Dba Arizona Autism
21045 N. 9TH Place, Ste 204
Phoenix, AZ 85024
Phone
(602) 726-2300
Fax
(602) 726-2322
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4102 AZ Primary

Addresses

Primary practice location

Therapy Play 4 Kidz, LLC Dba Arizona Autism
21045 N. 9TH Place, Ste 204
Phoenix, AZ 85024

Mailing address

991 S. Staloctites Circles
Benson, AZ 85602
Phone (520) 560-5245

Other identifiers 1

IdentifierTypeStateIssuer
380324MedicaidAZ

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4102AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Speech & Language Therapy LLC CurrentSince Nov 21, 2022 Accepting new patients
Enable Therapy Services, LLC Past Accepting new patients

Locations

200 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 459-1386

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1497802045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 S. STALOCTITES CIRCLES",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "85602",
            "telephone_number": "520-560-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THERAPY PLAY 4 KIDZ, LLC DBA ARIZONA AUTISM",
            "address_2": "21045 N. 9TH PLACE, STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85024",
            "telephone_number": "602-726-2300",
            "fax_number": "602-726-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYWOOD",
        "first_name": "JENNIFER",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "4102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380324",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.