Active NPI
Katherine Callaghan, OTR/L
- Occupational Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 25691
- Practice address
- 9825 Glen Center Dr
San Diego, CA 92131-1689 - Phone
- (858) 293-3900
- NPI assigned
- Mar 11, 2024
- Last updated
- Mar 11, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 25691 | CA | Primary |
Addresses
Primary practice location
9825 Glen Center Dr
San Diego, CA 92131-1689
Mailing address
4150 Vermont St
San Diego, CA 92103-2356
Phone (619) 316-2359
Other practice location 1
4075 54th St
San Diego, CA 92105-2301
Phone (619) 582-5168
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25691 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Physical Therapy Services, PC | Occupational Therapist | Current | Accepting new patients |
| Crestview HC LLC | Current | Accepting new patients |
Locations
12515 Springhurst Dr
San Diego, CA 92128
Phone (858) 771-3694
9825 Glen Center Dr
San Diego, CA 92131
Phone (858) 293-3900
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.
-
dba Ridgeview Skilled Nursing Facility
- Skilled Nursing Facility
- San Diego, CA
- NPI 1669179925
-
- Physical Therapist
- Beverly Hills, CA
- NPI 1285160788
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1902664220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 VERMONT ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032356",
"telephone_number": "619-316-2359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 GLEN CENTER DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311689",
"telephone_number": "858-293-3900"
}
],
"practiceLocations": [
{
"address_1": "4075 54th St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921052301",
"country_code": "US",
"telephone_number": "619-582-5168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALLAGHAN",
"first_name": "KATHERINE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-11",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "25691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.