Individual provider Active NPI

Kayla Ann V Yu, OTD, OTR/L

  • Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1093127797
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7587 Issued in AZ
Practice address
300 W Clarendon Ave Ste 285
Phoenix, AZ 85013-3474
Phone
(602) 279-6905
Fax
(602) 279-6934
NPI assigned
May 29, 2014
Last updated
Oct 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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 7587 AZ Primary
Developmental Therapist 222Q00000X

Addresses

Primary practice location

300 W Clarendon Ave Ste 285
Phoenix, AZ 85013-3474

Mailing address

300 W Clarendon Ave Ste 285
Phoenix, AZ 85013-3474
Phone (602) 279-6905

Other practice location 1

500 Fairway Dr.
Ste. 102 Butterfly Effects LLC,
Deerfield Beach, FL 33441
Phone (888) 880-9270

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

State licenses

LicenseStateTypeSpecialty
7587AZMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1093127797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 285",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133474",
            "telephone_number": "602-279-6905",
            "fax_number": "602-279-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 285",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133474",
            "telephone_number": "602-279-6905",
            "fax_number": "602-279-6934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Fairway Dr.",
            "address_2": "Ste. 102 Butterfly Effects LLC,",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "33441",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "KAYLA ANN",
        "middle_name": "V",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "7587",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.