Individual provider Active NPI

Kayla M Briggs, MS OTR/L

  • Occupational Therapist
  • Oregon City, OR
National Provider Identifier
1043594088
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
288801 Issued in OR
Practice address
221 Molalla Ave Ste 102
Oregon City, OR 97045-3072
Phone
(971) 256-6642
NPI assigned
Oct 10, 2011
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 288801 OR Primary
Occupational Therapist 225X00000X OT60685229 WA

Addresses

Primary practice location

221 Molalla Ave Ste 102
Oregon City, OR 97045-3072

Mailing address

2621 NE 134TH St
Vancouver, WA 98686-3036
Phone (360) 504-0122

Other identifiers 1

IdentifierTypeStateIssuer
47065477702MedicaidNE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
288801ORMDOccupational Therapist
OT60685229WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Hospice at Portland, LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Eden Home Health of Clark County, LLC Physical Therapist PastSince Jul 7, 2024 Accepting new patients
Procare3, Inc. PastSince Jan 1, 2006 Accepting new patients
Makovicka Harms Group PC Physical Therapist Past Accepting new patients

Locations

221 Molalla Ave
Ste 102
Oregon City, OR 97045
Phone (971) 256-6642

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1043594088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 NE 134TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863036",
            "telephone_number": "360-504-0122",
            "fax_number": "360-859-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MOLALLA AVE STE 102",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970453072",
            "telephone_number": "971-256-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "KAYLA",
        "middle_name": "M",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2011-10-10",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "288801",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60685229",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477702",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.