Kayla Jean Abbott, OTR/L
Individual provider Active NPI Occupational Therapist · Ponte Vedra Beach, FL
NPI 1114525870 · NPPES record last updated May 11, 2021
Key facts
- NPI
- 1114525870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT21297 (FL)
- Practice address
- 5150 Palm Valley Rd
Ponte Vedra Beach, FL 32082-4629 - Phone
- (904) 382-9790
- NPI assigned
- Oct 15, 2020
- 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 |
|---|---|---|---|
| OT21297 | FL | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT21297 | FL | Yes |
Addresses
Primary practice location
5150 Palm Valley Rd
Ponte Vedra Beach, FL 32082-4629
Mailing address
526 Scrub Jay Dr
Saint Augustine, FL 32092-1751
Phone (513) 319-3910
Other providers in Ponte Vedra Beach, FL
- 1St Choice Hearing Benefits LLC
- A Clark Minority Company LLC
- A1A Pharmacy, LLC
- Ashwini Achar
- Laura Adams
- Carlos Aguilar
- Kristofer Brian Aigner
- Katherine Warrell Allen
All providers in Ponte Vedra Beach, 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 May 11, 2021. 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.