Kelly Kaylor, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

003030 Issued in GA

Practice address

12060 Etris Rd Ste F100
Roswell, GA 30075-1470

Phone

(404) 229-8166

NPI assigned

Apr 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cobblestone Pathways, LLC

  • Speech-Language Pathologist
  • Roswell, GA
  • NPI 1528171535
  NPD (past)

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1922852425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12060 ETRIS RD STE F100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751470",
            "telephone_number": "404-229-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12060 ETRIS RD STE F100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751470",
            "telephone_number": "404-229-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYLOR",
        "first_name": "KELLY",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "003030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohit Kataria, DDS
• Nalini Kataria, DMD
• Alexandra Katsorelos, OT
• Richard Kaufman, D.P.M.
• Lauren Kavanaugh
• Paige Kearley, OTR/L
• Amy Carlisle Keating, PT
• Betul Kececi, FNP
• Angela Keel, RN
• Benjamin Houston Keeling, MSOT

• Occupational Therapy Assistant in Roswell, GA
• Providers in Roswell, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.