Kayla Renee Elortondo, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PAT9110600 Issued in FL

Practice address

1508 Aspenwood LN
Longmont, CO 80504-8759

Phone

(720) 335-5644

NPI assigned

Aug 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kayla Renee Spector Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Peak Rehab Medicine, LLC

  • Physical Medicine & Rehabilitation Physician
  • Longmont, CO
  • NPI 1700676921
  NPD Authorized official
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1417475294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 ASPENWOOD LN",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048759",
            "telephone_number": "720-335-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 ASPENWOOD LN",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048759",
            "telephone_number": "720-335-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELORTONDO",
        "first_name": "KAYLA",
        "middle_name": "RENEE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAT9110600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "SPECTOR",
            "middle_name": "RENEE",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madeline Diane Elkin-Aquino, BA
• Karis Beth Elliott
• Sam Elliott
• Owen Ellis, M.D.
• Krystal Ellison, BA
• Luis Elortondo, PA-C
• Hans D Elzinga, MD
• Embodied Essence, PLLC
• Embodied Illumination Psychotherapy
• Abby C Emdur, M.D.

• Physician Assistant in Longmont, CO
• Providers in Longmont, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.