Active NPI
Kayli Elizabeth Boyes, MSOT, OTR/L
- Occupational Therapist
- Philadelphia, PA
National Provider Identifier
1699440933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC017891
- Practice address
- 3400 Lancaster Ave
Philadelphia, PA 19104-4964 - Phone
- (215) 662-0397
- NPI assigned
- Aug 10, 2021
- 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 | OC017891 | PA | Primary |
Addresses
Primary practice location
3400 Lancaster Ave
Philadelphia, PA 19104-4964
Mailing address
444 N 4TH St Unit 503
Philadelphia, PA 19123-4130
Phone (215) 290-8063
Other practice location 1
1122 Street Rd
Southampton, PA 18966-4218
Phone (215) 357-2363
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC017891 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics Galaxy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Greenfield, WI
- NPI 1447250006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1699440933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 N 4TH ST UNIT 503",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191234130",
"telephone_number": "215-290-8063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 LANCASTER AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044964",
"telephone_number": "215-662-0397"
}
],
"practiceLocations": [
{
"address_1": "1122 Street Rd",
"address_purpose": "LOCATION",
"city": "Southampton",
"state": "PA",
"postal_code": "189664218",
"country_code": "US",
"telephone_number": "215-357-2363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYES",
"first_name": "KAYLI",
"middle_name": "ELIZABETH",
"credential": "MSOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC017891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.