Individual provider Active NPI

Kylie Andrea Cassotta, OTD, OTR/L

  • Occupational Therapist
  • Long Beach, CA
National Provider Identifier
1801741947
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
28723 Issued in CA
Practice address
3840 Woodruff Ave Ste 211
Long Beach, CA 90808-2149
Phone
(562) 507-1568
NPI assigned
Mar 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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 28723 CA Primary

Addresses

Primary practice location

3840 Woodruff Ave Ste 211
Long Beach, CA 90808-2149

Mailing address

17491 Mashie Cir
Huntington Beach, CA 92647-6209
Phone (714) 421-8713

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

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1801741947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17491 MASHIE CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476209",
            "telephone_number": "714-421-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 WOODRUFF AVE STE 211",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082149",
            "telephone_number": "562-507-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSOTTA",
        "first_name": "KYLIE",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "28723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.