Kailen Denisia Drayer, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007886 Issued in GA

Practice address

12010 Etris Rd Ste A150
Roswell, GA 30075-8009

Phone

(770) 998-9599

NPI assigned

Sep 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Behavior Bridges ABA LLC

  • Behavior Analyst
  • Bryant, AR
  • NPI 1265314645
  NPD
• J5 Therapy, Inc.

  dba Behavior Bridges ABA LLC

  • Behavior Analyst
  • Bryant, AR
  • NPI 1427867050
  NPD
• Cobblestone Pathways, LLC

  dba Cobblestone Therapy Group

  • Speech-Language Pathologist
  • Roswell, GA
  • NPI 1528171535
  NPD (past)
• The George Center Foundation

  dba The George Center

  • Music Therapist
  • Roswell, GA
  • NPI 1750623658
  NPD (past)

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1275140147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 FORREST CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411613",
            "telephone_number": "501-952-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 ETRIS RD STE A150",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300758009",
            "telephone_number": "770-998-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAYER",
        "first_name": "KAILEN",
        "middle_name": "DENISIA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2021-02-15",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3408",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.microsoft.com/en-us/microsoft-365/onedrive/online-cloud-storage",
            "affiliation": "N",
            "endpointDescription": "MicroSoft OneDrive",
            "address_1": "2700 N Prickett Rd Ste 2",
            "city": "Bryant",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720227511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dr. Brian K. Howard P.C. (North Fulton Plastic Surgery)
• Dr. Maurice E. Zadeh, Optometrist, P.C. (Family Eyecare of Roswell)
• Dr. Richard W. McCann Jr.
• Dr. Syed W. Rizvi
• Lisa Rene' Drake, M.D.
• Drdee Nutrition
• Jeffry Dressander, MD
• Elisabeth Drevet
• Clarkson M Driggers, MD
• Drive Physical Therapy and Performance LLC

• Occupational Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.