Individual provider Active NPI

Kayla Cook, MOT OTR/L

  • Occupational Therapist
  • Hickory, NC
National Provider Identifier
1053951699
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13307 Issued in NC
Practice address
1899 Tate Blvd SE Ste 2106
Hickory, NC 28602-4200
Phone
(828) 358-0976
Fax
(828) 838-1057
NPI assigned
Jan 12, 2020
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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 13307 NC Primary
Occupational Therapist 225X00000X 5201010626 MI

Addresses

Primary practice location

1899 Tate Blvd SE Ste 2106
Hickory, NC 28602-4200

Mailing address

15394 Ritchie Ave NE
Cedar Springs, MI 49319-8520

Other practice location 1

1 W State Rd Ste 3
Newaygo, MI 49337-7982
Phone (989) 619-0028

Other practice location 2

15394 Ritchie Ave NE
Cedar Springs, MI 49319-8520
Phone (989) 619-0028

Other names 1

  • Kayla Woodruff Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13307NCMDGeneral Practice Dentistry
5201010626MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehab LLC Occupational Therapist PastSince Jan 17, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1578787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1053951699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15394 RITCHIE AVE NE",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 TATE BLVD SE STE 2106",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024200",
            "telephone_number": "828-358-0976",
            "fax_number": "828-838-1057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 W State Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Newaygo",
            "state": "MI",
            "postal_code": "493377982",
            "country_code": "US",
            "telephone_number": "989-619-0028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15394 Ritchie Ave NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Springs",
            "state": "MI",
            "postal_code": "493198520",
            "country_code": "US",
            "telephone_number": "989-619-0028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "KAYLA",
        "credential": "MOT OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "13307",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "WOODRUFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.