Individual provider Active NPI

Kayla Kayatin, OTR/L

  • Occupational Therapist
  • Canton, OH
National Provider Identifier
1154962538
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT010802 Issued in OH
Practice address
2500 Schneider St NE
Canton, OH 44721-3398
Phone
(330) 491-3770
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT010802 OH Primary

Addresses

Primary practice location

2500 Schneider St NE
Canton, OH 44721-3398

Mailing address

6057 Strip Ave NW
North Canton, OH 44720-9207

Other practice location 1

3933 Eaton Rd NW
Canton, OH 44708-1651
Phone (330) 491-3720

Other practice location 2

7500 Middlebranch Ave NE
Canton, OH 44721-2138
Phone (330) 491-3750

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT010802OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1154962538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6057 STRIP AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447209207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SCHNEIDER ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447213398",
            "telephone_number": "330-491-3770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3933 Eaton Rd NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447081651",
            "country_code": "US",
            "telephone_number": "330-491-3720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Middlebranch Ave NE",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447212138",
            "country_code": "US",
            "telephone_number": "330-491-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAYATIN",
        "first_name": "KAYLA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT010802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.