Mikayla Kemmerly Kemmerly

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC015437 Issued in PA

Practice address

621 S 14TH St
Columbia, PA 17512-1914

Phone

(717) 449-8544

NPI assigned

Apr 9, 2020

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

State licenses

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1255950374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 BAYBERRY AVE",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175459030",
            "telephone_number": "717-951-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S 14TH ST",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175121914",
            "telephone_number": "717-449-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMMERLY",
        "first_name": "MIKAYLA",
        "middle_name": "KEMMERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janairo F. Hernandez,MD,PC
• John Martin Jensen Jr., DO
• John C Kepple, OD
• Johnson Hand Controls
• Tracy Ann Kellenberger, PA-C
• Kaitlyn Keyser, RN
• Rubana Khan, DO
• Jeffrey J Klunk, MS
• Michael K. Knolle, DO
• Jesse David Koehler, PHARMD

• Occupational Therapist in Columbia, PA
• Providers in Columbia, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.