Kaylie Mackenzie Walker, MSOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC019427 Issued in PA

Practice address

450 Philadelphia Ave
Shillington, PA 19607-2731

Phone

(610) 796-1600

NPI assigned

Nov 13, 2023

Last updated

Nov 27, 2023By 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

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1679347454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 GREEN MEADOW DR",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181326",
            "telephone_number": "484-219-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PHILADELPHIA AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072731",
            "telephone_number": "610-796-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2125 Elizabeth Ave",
            "address_purpose": "LOCATION",
            "city": "Laureldale",
            "state": "PA",
            "postal_code": "196052259",
            "country_code": "US",
            "telephone_number": "610-921-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KAYLIE",
        "middle_name": "MACKENZIE",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC019427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joseph B Watson, DPM
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• Mary Rita Weller, EDD LSW
• Melissa West

• Occupational Therapist in Shillington, PA
• Providers in Shillington, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.