Individual provider Active NPI

Kayla Michele Norris Gittens, MSOT, OTR/L

  • Occupational Therapist
  • Port St Lucie, FL
National Provider Identifier
1427517523
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT22472 Issued in FL
Practice address
2825 SE Treasure Island Rd
Port St Lucie, FL 34952-5729
Phone
(772) 494-7373
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT006505 GA
Occupational Therapist 225X00000X OT22472 FL Primary

Addresses

Primary practice location

2825 SE Treasure Island Rd
Port St Lucie, FL 34952-5729

Mailing address

2825 SE Treasure Island Rd
Port St Lucie, FL 34952-5729
Phone (772) 237-0130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211221001973 FL Practitioner - Occupational Therapist in Private Practice 6709128432 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT22472FLMDOccupational Therapist
OT006505GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Care Physical Therapy Occupational Therapist CurrentSince May 11, 2022 Accepting new patients
Mobile Therapy Group LLC Occupational Therapist CurrentSince Dec 1, 2021 Accepting new patients
Kayla Gittens LLC Occupational Therapist CurrentSince Jul 19, 2023 Accepting new patients
Pediatric Orthopedic Associates Past Accepting new patients

Organizations & group practices 4

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1427517523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 SE TREASURE ISLAND RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525729",
            "telephone_number": "772-237-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 SE TREASURE ISLAND RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525729",
            "telephone_number": "772-494-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTENS",
        "first_name": "KAYLA",
        "middle_name": "MICHELE NORRIS",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006505",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT22472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; 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.