Kayla Cobb, MSOTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201009060 Issued in MI

Practice address

412 E 1St St
Flint, MI 48502-1901

Phone

(810) 236-7484

Fax

(810) 236-7555

NPI assigned

Mar 3, 2015

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 names 1

• Kayla Herzog Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1487046264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E 1ST ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021901",
            "telephone_number": "810-236-7484",
            "fax_number": "810-236-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E 1ST ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021901",
            "telephone_number": "810-236-7484",
            "fax_number": "810-236-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Genesee St",
            "address_purpose": "LOCATION",
            "city": "Frankenmuth",
            "state": "MI",
            "postal_code": "487341313",
            "country_code": "US",
            "telephone_number": "989-652-6101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBB",
        "first_name": "KAYLA",
        "credential": "MSOTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "HERZOG",
            "credential": "MSOTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Marie Cloutier
• Alicia Clover
• Shanel Clum, LLMSW
• Clarissa C Co, PT
• Jakeira Cobb
• Felicia Cobbin, P.T.
• Michael Cobbin I
• Toni Alisha Cobbin
• Nina Rikka Cobilla, PA-C
• Tyra Lynell Coburn

• Occupational Therapist in Flint, MI
• Providers in Flint, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.