Individual provider Active NPI

Kayla Rachelle Love

  • Occupational Therapist
  • Springfield, MO
National Provider Identifier
1366044737
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2020032682 Issued in MO
Practice address
3023 S Fort Ave Ste B
Springfield, MO 65807-4217
Phone
(417) 890-4656
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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 2020032682 MO Primary

Addresses

Primary practice location

3023 S Fort Ave Ste B
Springfield, MO 65807-4217

Mailing address

3023 S Fort Ave Ste B
Springfield, MO 65807-4217
Phone (417) 890-4656

Other identifiers 1

IdentifierTypeStateIssuer
2020032682OtherMOMISSOURI STATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220513001098 MO Practitioner - Occupational Therapist in Private Practice 2163809112 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Arc of the Ozarks Occupational Therapist CurrentSince Sep 16, 2022 Accepting new patients
Kenai Kids Therapy Inc Past Accepting new patients

Locations

1721 W Elfindale St
Springfield, MO 65807
Phone (417) 605-7100

3023 S Fort Ave
Ste B
Springfield, MO 65807
Phone (417) 605-7100

2864 S Nettleton Ave
Springfield, MO 65807
Phone (417) 605-7100

Organizations & group practices 2

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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1366044737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 S FORT AVE STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074217",
            "telephone_number": "417-890-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 S FORT AVE STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074217",
            "telephone_number": "417-890-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "KAYLA",
        "middle_name": "RACHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2020032682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE LICENSE",
            "identifier": "2020032682",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.