Kaylie Heather Wall, MA,OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1125 Issued in CA

Practice address

551 Hygeia Ave
#A
Encinitas, CA 92024-2669

Phone

(760) 519-7365

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• In-Home Physical Therapy PC

  • Multi-Specialty Clinic/Center
  • Encinitas, CA
  • NPI 1588800874
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1265538201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 HYGEIA AVE",
            "address_2": "#A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242669",
            "telephone_number": "760-519-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 HYGEIA AVE",
            "address_2": "#A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242669",
            "telephone_number": "760-519-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "KAYLIE",
        "middle_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "MA,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "1125",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "09-0077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Oane Wagman, PH.D., MFT
• Walgreen Co. (Walgreens #11653)
• Gay McManus Walker, M.D.
• Kathryn Marie Walker, DNP, FNP-C, ENP-C
• Monique Christian Walker, RN
• Grayson Wallen, LPCC
• Walmart Inc. (WalMart Pharmacy 10-5886)
• Mary Alice Walsh-Cole, DMD
• Christopher Michael Walsh, LCSW
• Julie Ann Softley Walsh

• Occupational Therapist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.