Mrs Courtney R Kavanaugh, OTR in South Bend, IN

Mrs Courtney R Kavanaugh, OTR is a Occupational Therapist based in South Bend, Indiana. Mrs Courtney R Kavanaugh is licensed to practice in Indiana (license number 31006277) and her current practice location is 17390 Dugdale Dr, South Bend, Indiana. She can be reached at her office (for appointments etc.) via phone at (574) 400-2169.

NPI number for Mrs Courtney R Kavanaugh is 1780115691 and her current mailing address is 3500 Depauw Blvd Ste 3070, Indianapolis, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780115691.

Contact Information

	Mrs Courtney R Kavanaugh, OTR
	17390 Dugdale Dr, South Bend, IN 46635-1512
	(574) 400-2169
	(765) 450-6664

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Courtney R Kavanaugh
Gender	Female
Speciality	Occupational Therapist
Location	17390 Dugdale Dr, South Bend, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1780115691
Provider Enumeration Date: 03/22/2017
Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Mrs Courtney R Kavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780115691	NPI	-	NPPES
378069	Other		BOARD CERTIFICATION
200196020A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	31006277A (Indiana)	Secondary
225X00000X	Occupational Therapist	31006277 (Indiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Courtney R Kavanaugh is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Courtney R Kavanaugh, OTR 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135 Ph: (885) 324-0885	Mrs Courtney R Kavanaugh, OTR 17390 Dugdale Dr, South Bend, IN 46635-1512 Ph: (574) 400-2169

Reviews and Comments

Occupational Therapist in South Bend, IN

Ellen Jean Eaton, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-3945
Gerald Oler, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1520 Enchanted Forest St, South Bend, IN 46637 Phone: 574-404-1524
Kristin Shide, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-4831 Fax: 574-234-2075
Elizabeth Anne Sullivan, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442
Mrs. Penny R Fitzpatrick, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1950 Ridgedale Rd, South Bend, IN 46614 Phone: 574-291-6722
Julie White, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2012 Ironwood Cir, Suite 230, South Bend, IN 46635 Phone: 574-387-4049
Starr E Kelly, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-4831 Fax: 574-234-2075

Mrs Courtney R Kavanaugh, OTR - Occupational Therapist in South Bend, IN