Kyra Olivia Gainous, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT20240 Issued in FL

Practice address

610 E Bella Vista St
Lakeland, FL 33805-3008

Phone

(863) 688-8591

NPI assigned

Dec 19, 2019

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

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1669010617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2526 CHERRYWOOD HILL DR APT 210",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112354",
            "telephone_number": "813-381-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E BELLA VISTA ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053008",
            "telephone_number": "863-688-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINOUS",
        "first_name": "KYRA",
        "middle_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT20240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel F Delgado DPM PA
• Maggie Gaddie, LMHC
• Berlendah Gadson
• Latajmaj Gadson
• Gahc4 Lake Morton FL TRS Sub, LLC
• Niara Kalea Gainous, RPH
• Kathleen Helen Galatro, DO
• John Henry Galberry, D.D.S.
• Clark Harris Galbraith, MD
• Galencare, Inc.

• All providers in Lakeland, FL
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.