Kayla Marie Shaffer, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP00815 Issued in PA

Practice address

1100 W Long Ave
Du Bois, PA 15801-8799

Phone

(814) 371-3180

NPI assigned

Dec 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1679233647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 STRONACH RD",
            "city": "CURWENSVILLE",
            "state": "PA",
            "postal_code": "168337726",
            "telephone_number": "814-762-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W LONG AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158018799",
            "telephone_number": "814-371-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP00815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Select",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 W Long Ave",
            "city": "Du Bois",
            "state": "PA",
            "country_code": "US",
            "postal_code": "158018799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cierra Sechman, PA-C
• Carley Semancik, RN
• Anita Shade, LSW
• Johnny Lee Shaffer
• Kaitlyn Rae Shaffer, PA-C
• Ghazanfar A Shah, MD
• Kaushal J Shah, MD
• Vihan Shah, DO
• Waqar A Shah, MD
• Satyam Sharma, DO

• Occupational Therapy Assistant in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.