Kayla Renee Duncan, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

428232 Issued in OR

Practice address

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628

Phone

(971) 533-4814

NPI assigned

Sep 23, 2013

Last updated

Oct 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kayla Renee Stanfill Former name

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1912333964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 RIVER LOOP 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974041448",
            "telephone_number": "971-533-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY STE 100",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972224628",
            "telephone_number": "971-533-4814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9911 SE Mount Scott Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972666302",
            "country_code": "US",
            "telephone_number": "503-258-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "KAYLA",
        "middle_name": "RENEE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "428232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "STANFILL",
            "middle_name": "RENEE",
            "credential": "STANFILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justina Anne Dudley, LPC
• William Timothy Dudley, NP-C
• Robert Duffy, D.O.
• Kaila Duke, LMT
• Alexis Hogue Duncan, PHYSICAL THERAPIST
• Lillian Dunham, MFTA
• Crislyn Dunkley
• Jay L Dunn, PT
• Antonia Duran
• Diego Alejandro Flores Duran, DPT

• Occupational Therapy Assistant in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Occupational Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.