Individual provider Active NPI

Kayla R Riegel, OTD, OTR/L, C-GCM

  • Occupational Therapist
  • Wesley Chapel, FL
National Provider Identifier
1598096372
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
22376 Issued in FL
Practice address
30070 State Road 56
Wesley Chapel, FL 33543-7628
Phone
(570) 573-2586
NPI assigned
Jan 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 07315 MD
Occupational Therapist 225X00000X 22569 CA
Occupational Therapist 225X00000X OC010177 PA
Occupational Therapist 225X00000X 22376 FL Primary

Addresses

Primary practice location

30070 State Road 56
Wesley Chapel, FL 33543-7628

Mailing address

1722 E River Cove St
Tampa, FL 33604-3553
Phone (570) 573-2586

Other practice location 1

1722 E River Cove St
Tampa, FL 33604-3553
Phone (570) 573-2586

Other identifiers 1

IdentifierTypeStateIssuer
13510734OtherPACAQH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
22569CAMDAddiction (Substance Use Disorder) Counselor
22376FLMDOccupational Therapist
07315MDMDOccupational Therapist
OC010177PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1598096372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 E RIVER COVE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336043553",
            "telephone_number": "570-573-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30070 STATE ROAD 56",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437628",
            "telephone_number": "570-573-2586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1722 E River Cove St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336043553",
            "country_code": "US",
            "telephone_number": "570-573-2586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEGEL",
        "first_name": "KAYLA",
        "middle_name": "R",
        "credential": "OTD, OTR/L, C-GCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07315",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22569",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010177",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "22376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13510734",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.