Kyla Defranco, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

296296 Issued in OR

Practice address

625 Stevens St
Medford, OR 97504-6719

Phone

(541) 779-3551

NPI assigned

Aug 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1962879288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16757 S BOONE RD",
            "city": "COLUMBIA STATION",
            "state": "OH",
            "postal_code": "440289655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 STEVENS ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046719",
            "telephone_number": "541-779-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRANCO",
        "first_name": "KYLA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "296296",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "04989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindy Sue Deatherage, M.D.
• Giovanna A Debortoli
• Angela Marie Dedionisio, O.D.
• Shawnna Dedrick
• Andrew Scott Defrance, QMHP - NOT LICENSED
• Degrazia Wellness, LLC
• Christa Elane Degrazia, NP
• Tova Dejack, MSW, LCSW
• Bradley Dekorte, D.O.
• Michael Andrew Dekorte, DPM

• Occupational Therapy Assistant in Medford, OR
• Providers in Medford, 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 Aug 24, 2015; 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.