Individual provider Active NPI

Kayla Rebecca Mehaffy, OTR/L

  • Occupational Therapist
  • Westminster, CO
National Provider Identifier
1710594239
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0007323 Issued in CO
Practice address
8501 Turnpike Dr Unit 100
Westminster, CO 80031-7042
Phone
(303) 430-2490
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2020007319 MO
Occupational Therapist 225X00000X 0007323 CO Primary

Addresses

Primary practice location

8501 Turnpike Dr Unit 100
Westminster, CO 80031-7042

Mailing address

8501 Turnpike Dr Unit 100
Westminster, CO 80031-7042
Phone (612) 940-9480

Other practice location 1

6550 Yank Way
Arvada, CO 80004-2200
Phone (303) 424-6550

Other practice location 2

4931 McPherson Ave Apt D
Saint Louis, MO 63108-1627
Phone (612) 940-9480

Other names 1

  • Kayla Rebecca Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221215001039 CO Practitioner - Occupational Therapist in Private Practice 9436528387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0007323COMDOccupational Therapist
2020007319MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy & Rehabilitation Services, PC CurrentSince Nov 30, 2022 Accepting new patients

Locations

8501 Turnpike Dr
Unit 100
Westminster, CO 80031
Phone (303) 430-2490

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.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1710594239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 TURNPIKE DR UNIT 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317042",
            "telephone_number": "612-940-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 TURNPIKE DR UNIT 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317042",
            "telephone_number": "303-430-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 Yank Way",
            "address_purpose": "LOCATION",
            "city": "Arvada",
            "state": "CO",
            "postal_code": "800042200",
            "country_code": "US",
            "telephone_number": "303-424-6550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4931 McPherson Ave Apt D",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631081627",
            "country_code": "US",
            "telephone_number": "612-940-9480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHAFFY",
        "first_name": "KAYLA",
        "middle_name": "REBECCA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2020007319",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0007323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "SMITH",
            "middle_name": "REBECCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.