Individual provider Active NPI

Kayla Antoinette Pavelski, MS, AT. ATC

  • Athletic Trainer
  • Scottsdale, AZ
National Provider Identifier
1457822397
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
ATR-009222 Issued in AZ
Practice address
9000 E Chaparral Rd
Scottsdale, AZ 85256-2626
Phone
(480) 423-6000
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X ATR-009222 AZ Primary

Addresses

Primary practice location

9000 E Chaparral Rd
Scottsdale, AZ 85256-2626

Mailing address

445 E Germann Rd Apt 1116
Gilbert, AZ 85297-4202
Phone (715) 310-2905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ATR-009222AZMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1457822397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E GERMANN RD APT 1116",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852974202",
            "telephone_number": "715-310-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 E CHAPARRAL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852562626",
            "telephone_number": "480-423-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVELSKI",
        "first_name": "KAYLA",
        "middle_name": "ANTOINETTE",
        "credential": "MS, AT. ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "ATR-009222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.