Kayla K Wilson, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA21662 Issued in FL

Practice address

35902 Hwy 27
Haines City, FL 33844-3737

Phone

(863) 421-1777

NPI assigned

Nov 1, 2011

Last updated

Nov 1, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cora Health Services, Inc

  dba CORA Physical Therapy-Stoneybrook

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1629354881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 SANDY HOOK",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35902 HWY 27",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443737",
            "telephone_number": "863-421-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KAYLA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA21662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theanna Ismarella Willard, PHARMD
• Taniya Williams
• Adero Binta Wilson
• Amanda R Wilson
• Brooke Wilson
• Wintersetinc (Beltone Hearing Aid Center)
• Tina Charisse Worth, RN, BSN, IBCLC
• Victoria Wright
• Xtra Discount Drugs HC
• Yaser Samih Yousef, RPH

• Physical Therapy Assistant in Haines City, FL
• Providers in Haines City, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.