Active NPI
Kayla Weatherly, OTR
- Occupational Therapist
- Milan, TN
National Provider Identifier
1194402487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7655
- Practice address
- 8017 Dogwood LN
Milan, TN 38358-6805 - Phone
- (731) 686-8373
- NPI assigned
- Jun 29, 2023
- Last updated
- Nov 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7655 | TN | Primary |
Addresses
Primary practice location
8017 Dogwood LN
Milan, TN 38358-6805
Mailing address
217 Meadowlark CV
Medina, TN 38355-6880
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7655 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1194402487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 MEADOWLARK CV",
"city": "MEDINA",
"state": "TN",
"postal_code": "383556880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8017 DOGWOOD LN",
"city": "MILAN",
"state": "TN",
"postal_code": "383586805",
"telephone_number": "731-686-8373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERLY",
"first_name": "KAYLA",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-29",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "7655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milan, TN
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0104)
- Wal-Mart Stores East, LP (Vision Center 30-0104)
- Walgreen Co (Walgreens #15785)
- Walker Imaging (Chadwick Anthony Walker)
- Latasha Annette Walker
- Abigail Holladay Wells, DPT
- Chloe West, PTA
- Jake Wayne Whitby, D.C.
- Daniel Collin White, PT
- Dennis Wayne Wilson, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.