Kayla Walmer, LAT, ATC, PTA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT005971 Issued in PA

Practice address

7475 W Lake Rd
Fairview, PA 16415-1402

Phone

(814) 823-2566

NPI assigned

Mar 22, 2016

Last updated

Mar 22, 2016By 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 2

Addresses

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1578925285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7475 W LAKE RD",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164151402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 W LAKE RD",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164151402",
            "telephone_number": "814-823-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALMER",
        "first_name": "KAYLA",
        "credential": "LAT, ATC, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE010582",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas H Turner, MD
• Katherine Walenciak Ulrich, M.S., CCC-SLP
• Tiffany Renee Veres, COTA/L
• William Wadsworth, LSW CCDP-D CAADC GAM
• Joseph David Wallwork
• Mary Kathryn Washok, COTA/L
• Kathleen Wernicki
• Melissa Wright, FNP-BC
• Rochelle R Youkers, LCSW
• Michael Brian Zaycosky, D.O.

• Athletic Trainer in Fairview, PA
• Providers in Fairview, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.