Kayla Brie Bach, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0004875 Issued in CO

Practice address

37160 Dickerson Run
Severance, CO 80550-8403

Phone

(970) 690-6696

Fax

(970) 449-0525

NPI assigned

Oct 24, 2007

Last updated

Nov 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kayla Brie Moersen Former name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Movement Optimization Therapy LLC

  • Clinic/Center
  • Severance, CO
  • NPI 1083370407
  Medicare reassignment NPD Authorized official
• Covell Care and Rehabilitation, LLC

  • Home Health Agency
  • Windsor, CO
  • NPI 1063695351
  Medicare reassignment NPD

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1114106382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37160 DICKERSON RUN",
            "city": "SEVERANCE",
            "state": "CO",
            "postal_code": "805508403",
            "telephone_number": "970-690-6696",
            "fax_number": "970-449-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37160 DICKERSON RUN",
            "city": "SEVERANCE",
            "state": "CO",
            "postal_code": "805508403",
            "telephone_number": "970-690-6696",
            "fax_number": "970-449-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "KAYLA",
        "middle_name": "BRIE",
        "name_prefix": "Mrs.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "MOERSEN",
            "middle_name": "BRIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brooke Lee, LLC
• Kyria Elizabeth Brown, CLC
• Sara Burnett, LCSW
• Krisanna Lin Chadwick, MSPT
• Serena D. Galloway, CLD

• Occupational Therapist in Severance, CO
• Providers in Severance, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.