Organization Active NPI

Kayla Gittens LLC

  • Occupational Therapist
  • Port Saint Lucie, FL
National Provider Identifier
1790478675
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
KAYLA GITTENS LLC
Practice address
2825 SE Treasure Island Rd
Port Saint Lucie, FL 34952-5729
Phone
(772) 494-7373
NPI assigned
May 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2024

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

Authorized official

Name
Kayla Gittens, MS, OTR/LNPI 1427517523
Title
Owner/Occupational Therapist
Phone
(772) 237-0130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

2825 SE Treasure Island Rd
Port Saint Lucie, FL 34952-5729

Mailing address

2825 SE Treasure Island Rd
Port Saint Lucie, FL 34952-5729

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230802002295 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294196531 Receives reassigned benefits from 1 practitioner
Practice locations: Port St Lucie, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711843200000",
    "number": "1790478675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 SE TREASURE ISLAND RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 SE TREASURE ISLAND RD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525729",
            "telephone_number": "772-494-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYLA GITTENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A",
        "authorized_official_last_name": "GITTENS",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "772-237-0130",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.