Kayla Kelley, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

114857 Issued in TX

Practice address

202 N Main St
Nolanville, TX 76559-4349

Phone

(254) 393-0081

Fax

(254) 393-0205

NPI assigned

Jun 14, 2012

Last updated

May 11, 2023By 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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Beach Therapies LLCGroup PAC ID 0941666770, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

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.

• Legacy Beach Therapies LLC

  • Physical Therapy Clinic/Center
  • Nolanville, TX
  • NPI 1417664541
  Medicare reassignment Care Compare group NPD
• Barr Physical Therapy, P.C.

  dba KidZ TherapEZE

  • Pediatric Physical Therapist
  • Killeen, TX
  • NPI 1306927553

  Pediatrics

  NPD (past)
• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • Somerton, AZ
  • NPI 1003991506
  NPD (past)

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1477815470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N MAIN ST",
            "city": "NOLANVILLE",
            "state": "TX",
            "postal_code": "765594349",
            "telephone_number": "254-393-0081",
            "fax_number": "254-393-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N MAIN ST",
            "city": "NOLANVILLE",
            "state": "TX",
            "postal_code": "765594349",
            "telephone_number": "254-393-0081",
            "fax_number": "254-393-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KAYLA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "114857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Denny, MA, LPC ASSOCIATE
• Grace Abound Home Care Limited
• Elizabeth Harkness
• Lavern Humphries
• Edith Carolina Keenly, LPC
• Joseph Michael Lansing, LVN
• Legacy Beach Therapies LLC
• Tracy Dorinda Lemley
• Lisa J. Morales, LPC, PLLC
• Elis Lashan McBride, MS

• Pediatric Occupational Therapist in Nolanville, TX
• Providers in Nolanville, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.