Active NPI
Kayla Drake, COTA/L
- Occupational Therapy Assistant
- Lexington, SC
National Provider Identifier
1760814966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2947
- Practice address
- 100 Old Cherokee Rd
Suite F, Box 172
Lexington, SC 29072-9316 - Phone
- (843) 312-1631
- Fax
- (803) 356-0468
- NPI assigned
- Jul 30, 2013
- 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 Therapy Assistant | 224Z00000X | 2947 | SC | Primary |
Addresses
Primary practice location
100 Old Cherokee Rd
Suite F, Box 172
Lexington, SC 29072-9316
Mailing address
100 Old Cherokee Rd
Suite F, Box 172
Lexington, SC 29072-9316
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2947 | Other | SC | SCLLR |
| 274781 | Other | NBCOT |
Other names 1
- Kayla Ware
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1760814966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OLD CHEROKEE RD",
"address_2": "SUITE F, BOX 172",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OLD CHEROKEE RD",
"address_2": "SUITE F, BOX 172",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729316",
"telephone_number": "843-312-1631",
"fax_number": "803-356-0468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "KAYLA",
"name_prefix": "Ms.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-30",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "2947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCLLR",
"identifier": "2947",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "274781",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAYLA",
"last_name": "WARE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.