Kasey R Kostyshak, MS, OTR/L
Occupational Therapist in Antelope, CA. Individual provider (NPI-1).
NPI number1295450666
StatusActive
Last updated in NPPESAug 7, 2026
Details
- NPI
- 1295450666
- Entity type
- Individual (NPI-1)
- Name
- Kasey R Kostyshak
- Credential
- MS, OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2022
- Certification date
- Aug 7, 2026
- Last updated
- Aug 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 23306 | CA | Yes |
Practice location
8408 Watt AveAntelope, CA 95843-9116
Phone 916-747-0817
Mailing address
8201 Silverside DrAntelope, CA 95843-4805
Phone 916-747-0817
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Occupational Therapist providers in Antelope, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.