Individual provider Active NPI

Kayla Cobos, OTD, OTR/L

  • Occupational Therapist
  • Palm Harbor, FL
National Provider Identifier
1538854609
Registry record updated Apr 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT23525 Issued in FL
Practice address
3488 E Lake Rd Ste 302
Palm Harbor, FL 34685-2404
Phone
(727) 786-1996
NPI assigned
Apr 5, 2023
Last updated
Apr 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2023

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 OT23525 FL Primary

Addresses

Primary practice location

3488 E Lake Rd Ste 302
Palm Harbor, FL 34685-2404

Mailing address

3488 E Lake Rd Ste 302
Palm Harbor, FL 34685-2404
Phone (727) 786-1996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230608000578 FL Practitioner - Occupational Therapist in Private Practice 7719344696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Orthopedic Rehabilitation Services, Inc. Occupational Therapist Current Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Apr 1, 2023 Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Apr 1, 2023 Accepting new patients
Rehabclinics SPT Inc Occupational Therapist PastSince Apr 9, 2023 Accepting new patients

Locations

5347 Main St
Ste 202
New Prt Rchy, FL 34652
Phone (727) 841-0515

1807 Short Branch Dr
Ste 103
Trinity, FL 34655
Phone (727) 372-0182

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

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680912000000",
    "number": "1538854609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3488 E LAKE RD STE 302",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852404",
            "telephone_number": "727-786-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3488 E LAKE RD STE 302",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852404",
            "telephone_number": "727-786-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBOS",
        "first_name": "KAYLA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-08",
        "certification_date": "2023-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT23525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2023; 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.