Active NPI
Cayla Lucille Woodburn, OTR/L
- Occupational Therapist
- Woodstock, GA
National Provider Identifier
1639794175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007759
- Practice address
- 306 Wind Ship CT
Woodstock, GA 30189-5287 - Phone
- (678) 524-6604
- NPI assigned
- Jun 10, 2020
- Last updated
- Jun 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT007759 | GA | Primary |
Addresses
Primary practice location
306 Wind Ship CT
Woodstock, GA 30189-5287
Mailing address
306 Wind Ship CT
Woodstock, GA 30189-5287
Phone (678) 524-6604
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT007759 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1639794175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 WIND SHIP CT",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895287",
"telephone_number": "678-524-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 WIND SHIP CT",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895287",
"telephone_number": "678-524-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODBURN",
"first_name": "CAYLA",
"middle_name": "LUCILLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT007759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
- James Anthony Wombles Jr., ATC
- Women First Rehabilitation (Atlanta Pelvic Rehabilitation Specialists)
- Wood Health LLC
- Jonathan M Wood, BCBA
- Virginia Sutton Wood, PSY.D.
- Woodpark Family Chiropractic LLC (Foothills Chiropractic & Rehab)
- Sadie Woods, RBT
- Woodstock Center for Nursing and Healing LLC
- Woodstock Cypress LLC (Woodstock Nursing and Rehabilitation Center)
- Woodstock Dentist LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.