Eddie Leelove Kuykendall III, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3353 Issued in AZ

Practice address

13835 N Tatum Blvd
Ste 9-429
Phoenix, AZ 85032-5590

Phone

(480) 242-5903

NPI assigned

Jul 16, 2010

Last updated

Dec 10, 2013By the provider in NPPES

Sex

Male

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)

Not enrolled

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.

• Wheels on the Bus Pediatric Therapy

  • Developmental Disabilities Clinic/Center
  • Phoenix, AZ
  • NPI 1427488808
  NPD (past)

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1649583824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7519 N 47TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011576",
            "telephone_number": "602-301-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13835 N TATUM BLVD",
            "address_2": "STE 9-429",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325590",
            "telephone_number": "480-242-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYKENDALL",
        "first_name": "EDDIE",
        "middle_name": "LEELOVE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "3353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrycja Kuszka, PA-C
• Nicole D Kutch, OTR/L, CHT
• Mary Jo Foa Kutler, D.O.
• Richard Alan Kutt, RKT
• Wendy S Kutz, LCSW
• Adam Jeremiah Kuzmiak, CRNA
• Geoffrey Alan Kuzmich, CRNA
• KVF Therapy (Core Therapies)
• Jinsook Kwack, FNP
• Garrett Kwakkestein, RN

• Occupational Therapy Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.