Phyllis Irene Kukla, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32000680A Issued in IN

Practice address

1834 Fields Blvd
Greenfield, IN 46140-3029

Phone

(317) 527-5437

NPI assigned

Apr 6, 2020

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

• Phyllis Irene Pulaski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Therapy and Behavior Services, LLC

  • Multi-Specialty Clinic/Center
  • Greenfield, IN
  • NPI 1962937656
  NPD

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1568091163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 FIELDS BLVD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403029",
            "telephone_number": "317-527-5437",
            "fax_number": "317-318-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 FIELDS BLVD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403029",
            "telephone_number": "317-527-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2519 E 10th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460124464",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2004 1/2 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473621220",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Coronado Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462342526",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1722 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022031",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUKLA",
        "first_name": "PHYLLIS",
        "middle_name": "IRENE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32000680A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "PULASKI",
            "middle_name": "IRENE",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Georgia Ann Knotek, D.D.S.
• Christos Charles Koumpouras, R.PH., MBA
• Monica Price Kowaleski, O.D.
• Stephen P Kramer, LCSW
• Kroger Limited Partnership I
• Linda Ellen Labore, C.O.T.A.
• Katelyn Lacy, PA
• Megan E Lammert
• Brooke Larrabee
• Tanya Larrabee

• Occupational Therapy Assistant in Greenfield, IN
• Providers in Greenfield, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.