Kyla Lynn Tillis, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2018 Issued in OK

Practice address

3812 NW Meadowbrook Dr
Lawton, OK 73505-4952

Phone

(580) 574-5811

NPI assigned

Dec 19, 2023

Last updated

Dec 19, 2023By the provider in NPPES

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

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1174391056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 NW MEADOWBROOK DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735054952",
            "telephone_number": "580-574-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 NW MEADOWBROOK DR",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735054952",
            "telephone_number": "580-574-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLIS",
        "first_name": "KYLA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah McRaney Thrasher, BSDH, RDH
• Brittni Thurman
• Ruth Ann Thurston
• Nastassia Tidwell
• Elizabeth Tilghman
• Timothy F Wright, MD
• Janet Laura Tippeconnic
• Devin Eli Toahty
• Today Clinic Lawton LLC
• Today Clinic PLLC (Today Clinic)

• Occupational Therapy Assistant in Lawton, OK
• Providers in Lawton, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.