Kelly Leigh Meyer, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

213902 Issued in TX

Practice address

Port Lavaca Nursing and Rehabilitation Center
524 Village Rd
Port Lavaca, TX 77979

Phone

(361) 552-3741

NPI assigned

Aug 15, 2018

Last updated

Aug 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1972083475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W GOODWIN AVE STE 600",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016530",
            "telephone_number": "361-576-0694",
            "fax_number": "361-576-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PORT LAVACA NURSING AND REHABILITATION CENTER",
            "address_2": "524 VILLAGE RD",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "77979",
            "telephone_number": "361-552-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KELLY",
        "middle_name": "LEIGH",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "213902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial Medical Center (Memorial Medical Clinic)
• Memorial Medical Center (Lavaca Bay Nursing and Rehabilitation Center)
• Memorial Medical Center
• Memorial Medical Clinic
• Memorial Medical Clinic
• Torri Reann Mikolas
• Vrinda Mohunta
• Ngale Ndiva Mongoh, PHARM.D
• Hector Morales
• Shirley Ann Mumphord, LPC

• Occupational Therapy Assistant in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.