Individual provider Active NPI

Kayla Di-Ayne Antill, MOT, OTR/L

  • Occupational Therapist
  • Parkersburg, WV
National Provider Identifier
1306336458
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008340 Issued in OH
Practice address
2010 Garfield Ave Ste 2
Parkersburg, WV 26101-2527
Phone
(304) 917-3660
Fax
(304) 917-3674
NPI assigned
May 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT008340 OH Primary

Addresses

Primary practice location

2010 Garfield Ave Ste 2
Parkersburg, WV 26101-2527

Mailing address

415 36TH St Ste 100
Parkersburg, WV 26101-1005
Phone (304) 917-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723001694 WV Practitioner - Occupational Therapist in Private Practice 8022365030 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT008340OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Settlement Physical Therapy CurrentSince May 1, 2024 Accepting new patients
Mountain River Physical Therapy, LLC CurrentSince May 14, 2018 Accepting new patients
Mountain River Physical Therapy LLC Current Accepting new patients
First Settlement Phycial Therapy CurrentSince May 1, 2024 Accepting new patients
Mountain River Physical Therapy Specialists LLC CurrentSince Nov 16, 2020 Accepting new patients
First Settlement Physical Therapy Current Accepting new patients
First Settlement Physical Therapy CurrentSince May 1, 2024 Accepting new patients
Mountain River Physical Therapy Specialists LLC CurrentSince Nov 16, 2020 Accepting new patients

Locations

2101 E State St
Ste C
Athens, OH 45701
Phone (740) 593-6778

252 W Main St
Ste E
St Clairsvle, OH 43950
Phone (740) 296-5042

1001 Bridge Rd
Charleston, WV 25314
Phone (304) 759-8428

2010 Garfield Ave
Ste 2
Parkersburg, WV 26101
Phone (304) 917-3649

415 36th St
Ste 100
Parkersburg, WV 26101
Phone (304) 917-3660

3901 Emerson Ave
Parkersburg, WV 26104
Phone (304) 773-3171

1212 Garfield Ave
Ste 200
Parkersburg, WV 26101
Phone (304) 865-2778

2837 Pike St
#A
Parkersburg, WV 26101
Phone (304) 489-2230

240 Washington St
Ravenswood, WV 26164
Phone (304) 273-8071

1500 Grand Central Ave
Ste 101
Vienna, WV 26105
Phone (304) 295-3060

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1306336458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 36TH ST STE 100",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261011005",
            "telephone_number": "304-917-3660",
            "fax_number": "304-917-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 GARFIELD AVE STE 2",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012527",
            "telephone_number": "304-917-3660",
            "fax_number": "304-917-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTILL",
        "first_name": "KAYLA",
        "middle_name": "DI-AYNE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT008340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.