Individual provider Active NPI

Kayla Taylor, PT

  • Pediatric Physical Therapist
  • Klamath Falls, OR
National Provider Identifier
1548645609
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
61022 Issued in OR
Practice address
2450 Summers LN
Klamath Falls, OR 97603-6600
Phone
(541) 887-2207
Fax
(541) 887-2208
NPI assigned
Jul 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 61022 OR Primary

Addresses

Primary practice location

2450 Summers LN
Klamath Falls, OR 97603-6600

Mailing address

5614 Havencrest Dr
Klamath Falls, OR 97603-3900
Phone (541) 337-2343

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

State licenses

LicenseStateTypeSpecialty
61022ORMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tater Tots Pediatric Therapy Pediatrics CurrentSince Feb 13, 2022 Accepting new patients
Connect the Dots Pediatric Therapy, Inc Past Accepting new patients

Locations

2450 Summers Ln
Klamath Falls, OR 97603
Phone (541) 883-4748

Organizations & group practices 2

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1548645609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5614 HAVENCREST DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976033900",
            "telephone_number": "541-337-2343",
            "fax_number": "541-887-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 SUMMERS LN",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976036600",
            "telephone_number": "541-887-2207",
            "fax_number": "541-887-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KAYLA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OR",
            "license": "61022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.