Kayla Alise Alsup
Individual provider Active NPI Occupational Therapist · Oldsmar, FL
NPI 1073019063 · NPPES record last updated Mar 30, 2018
Key facts
- NPI
- 1073019063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTA15678 (FL)
- Practice address
- 3865 Tampa Rd
Oldsmar, FL 34677-3008 - Phone
- (813) 855-4661
- NPI assigned
- Mar 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA15678 | FL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTA15678 | FL | Yes |
Addresses
Primary practice location
3865 Tampa Rd
Oldsmar, FL 34677-3008
Mailing address
3005 Fontanar St
Lutz, FL 33558-4944
Other providers in Oldsmar, FL
- Aegis Home Care LLC
- Marlon Alaan
- Allcare Homecare LLC
- Allday Home Health Corp
- Yanine Almanza Barrial
- Nanette Anderson
- Josephine Andrews
- Annie Thomas MD PA
- Lynne Anthony
- Adrian Aquino Sierra
All providers in Oldsmar, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.