Individual provider Active NPI

Kayla Rae-Ruiz Gast, MOT

  • Occupational Therapist
  • California, MD
National Provider Identifier
1457072845
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
09781 Issued in MD
Practice address
23415 Three Notch Rd Ste 2026
California, MD 20619-4021
Phone
(240) 530-8188
Fax
(240) 237-8572
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 09781 MD Primary

Addresses

Primary practice location

23415 Three Notch Rd Ste 2026
California, MD 20619-4021

Mailing address

23415 Three Notch Rd Ste 2026
California, MD 20619-4021
Phone (240) 530-8188

Other practice location 1

22593 Three Notch Rd
California, MD 20619-3202
Phone (301) 862-2505

Other identifiers 1

IdentifierTypeStateIssuer
09781OtherMDOT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kgast@ptherapy.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926000016 MD Practitioner - Occupational Therapist in Private Practice 7416332606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

23415 Three Notch Rd
Suite 2026
California, MD 20619-4021
Phone (240) 530-8188

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09781MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Feb 12, 2024 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Feb 12, 2024 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

23415 Three Notch Rd
Ste 2026
California, MD 20619
Phone (240) 530-8188

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1457072845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23415 THREE NOTCH RD STE 2026",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206194021",
            "telephone_number": "240-530-8188",
            "fax_number": "240-237-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23415 THREE NOTCH RD STE 2026",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206194021",
            "telephone_number": "240-530-8188",
            "fax_number": "240-237-8572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22593 Three Notch Rd",
            "address_purpose": "LOCATION",
            "city": "California",
            "state": "MD",
            "postal_code": "206193202",
            "country_code": "US",
            "telephone_number": "301-862-2505",
            "fax_number": "301-862-2548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAST",
        "first_name": "KAYLA",
        "middle_name": "RAE-RUIZ",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT",
            "identifier": "09781",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgast@ptherapy.net",
            "affiliation": "N",
            "address_1": "22593 Three Notch Rd",
            "city": "California",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206193202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in California, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.