Mrs. Courtney R Kavanaugh
OTR | Occupational Therapist
17390 Dugdale Dr, South Bend
Indiana, 46635-1512
574-400-2169 765-450-6664
Maps & DirectionsMrs. Courtney R Kavanaugh is a South Bend, Indiana based therapist who is specialized in Occupational Therapy. Active license number of Mrs. Courtney R Kavanaugh is 31006277 for Occupational Therapy in Indiana. Her current practice location is 17390 Dugdale Dr, South Bend. Patients can reach her at 574-400-2169 or can fax her at 765-450-6664. Mrs. Courtney R Kavanaugh is OTR in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1780115691.
Mrs. Courtney R Kavanaugh provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Mrs. Courtney R Kavanaugh speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Courtney R Kavanaugh |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OTR |
| Practice Address: | 17390 Dugdale Dr, South Bend,
Indiana, 46635-1512 |
| Phone: | 574-400-2169 |
| Fax: | 765-450-6664 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1780115691 |
| NPI Enumeration Date: | 22 Mar, 2017 |
| NPI Last Update On: | 21 Jul, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Courtney R Kavanaugh are as mentioned below.
| License Number | Specialization | State | Status | |
| 31006277 | Occupational Therapy | Indiana | Primary | |
| 31006277A | Occupational Therapy | Indiana | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Courtney R Kavanaugh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 378069 | Other | | BOARD CERTIFICATION |
| 200196020A | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Courtney R Kavanaugh
3500 Depauw Blvd Ste 3070,
Indianapolis, Indiana |
| Zip: | 46268-6135 |
| Phone Number: | 885-324-0885 |
| Fax Number: | 765-450-6664 |
Patients can reach Mrs. Courtney R Kavanaugh at
17390 Dugdale Dr, South Bend, Indiana or can
call to book an appointment on 574-400-2169.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.