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Mrs. Courtney R Kavanaugh, OTR

Occupational Therapist in South Bend, IN · enumerated 2017.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780115691

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Registry record

Entity type Individual (Type 1)
Name Mrs. Courtney R Kavanaugh
Credential OTR
Sex Female
Practice address 17390 Dugdale Dr, South Bend, IN, 46635
Phone (574) 400-2169
Fax (765) 450-6664
Enumeration date Mar 22, 2017
Last updated in NPPES Jul 21, 2022

Taxonomy & licenses

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 31006277A (IN) Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 31006277 (IN) Primary

Other identifiers

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

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1780115691 active?
Yes, as of the latest NPPES snapshot, NPI 1780115691 is active (record last updated 2022-07-21).
How do I verify Courtney Kavanaugh's NPI record?
Cross-check NPI 1780115691 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.