Chelsea Anne Buckaway, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

22774 Issued in CA

Practice address

1575 E Washington Blvd
Pasadena, CA 91104-2675

Phone

(626) 791-1981

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1548984396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12831 MILBANK ST",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042675",
            "telephone_number": "626-791-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKAWAY",
        "first_name": "CHELSEA",
        "middle_name": "ANNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Carlisle Bryan, M.D.
• Amy Charlene Bryman
• Chryshea Elaine Bryson
• Xinyu Bu, L.AC
• Gina M Buccolo, IBCLC
• Olivia Buckhorn
• Naomi Buckley, MFT
• Deborah K Buckwalter, PH.D.
• Josephine Ann Buczko, ANP-BC
• Budincich Chiropractic Clinic, Inc

• Occupational Therapist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.