Kaylin Elizabeth Miley Weaver, OTD, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

5714 Issued in TN

Practice address

51 Patel Way
Clarksville, TN 37043-4105

Phone

(931) 245-1000

NPI assigned

Jul 30, 2021

Last updated

Jul 30, 2021By the provider in NPPES

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 identifiers 1

Other names 1

• Dr. Kaylin Elizabeth Miley Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Mount Juliet, TN
  • NPI 1467023861
  Medicare reassignment NPD
• SNH SE Tenant TRS, Inc

  dba Fieldstone Place

  • Assisted Living Facility
  • Clarksville, TN
  • NPI 1114656279
  NPD
• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
  • NPI 1881366730
  NPD
• Five Star Rehabilitation and Wellness Services, LLC

  dba Ageility Physical Therapy Solutions at Lexington Manor

  • Physical Therapy Clinic/Center
  • Port Charlotte, FL
  • NPI 1417602640
  NPD (past)
• Rehabcare Group East, LLC

  dba RehabCare

  • Rehabilitation Clinic/Center
  • Frankfort, KY
  • NPI 1275084758
  NPD (past)

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1447923834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PATEL WAY",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PATEL WAY",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434105",
            "telephone_number": "931-245-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILEY WEAVER",
        "first_name": "KAYLIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "TN",
            "license": "5714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE STATE BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "5714",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kmiley@5ssl.com",
            "affiliation": "N",
            "endpointDescription": "Work",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work",
            "address_1": "51 Patel Way",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370434105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAYLIN",
            "last_name": "MILEY",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kara Cheyenne Middleton
• Barbara Mikicki, M.D.
• Jacqueline Denise Milam, MD
• Tajaia S Miles, RBT
• Veronica Miles, MSW
• Abigail Miller, M.A.
• Andrea Miller
• Ashleigh Miller, MPT
• Colleen M Miller
• Daniel R Miller, MD

• Gerontology Occupational Therapist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Gerontology Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.