Kaylin Shaw, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

480232 Issued in OR

Practice address

2300 Warren St
Eugene, OR 97405-1116

Phone

(541) 686-2828

NPI assigned

Oct 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1083486716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 WOODSTONE PL",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WARREN ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974051116",
            "telephone_number": "541-686-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KAYLIN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "480232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Sharp
• Cedar Sharpe, LCSW
• John Sharrer, MD
• Morgan Krista Shasteen, NP-C
• Jonathan Shaw, PMHNP
• Kelly Grace Shaw, MS, LPC, NCC
• Shawmed, Inc.
• Nathan Shay
• Frank A Sheaffer, DPM
• Anastasya L. Shearer, LPCA, NCC, PELSC

• Occupational Therapy Assistant in Eugene, OR
• Providers in Eugene, OR by specialty
• Occupational Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.