Kayla Marie Stanley, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

213054 Issued in TX

Practice address

1104 S William St
Atlanta, TX 75551-3246

Phone

(870) 949-5334

NPI assigned

Aug 27, 2018

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

Other identifiers 1

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1972084143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14333 TEXAS HIGHWAY 8",
            "city": "DOUGLASSVILLE",
            "state": "TX",
            "postal_code": "755604606",
            "telephone_number": "903-799-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 S WILLIAM ST",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755513246",
            "telephone_number": "870-949-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "213054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA LICENSE",
            "identifier": "213054",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sellers, LPC
• Sha'Neika Shavers
• Shraddha Sheth
• Melinda Dyer Smith, FNP-C
• Sharonda Renea Smith
• Andrew Paul Stevens
• Jimmy Glenn Stillwell, CRNA CERTIFIED REGIS
• Melanie A Stone, APRN, FNP-C
• Swanson Family Chiropractic P.C.
• Trevor James Swanson, D.C.

• Occupational Therapy Assistant in Atlanta, TX
• Providers in Atlanta, 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 27, 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.