Kylie Jo Coker, OTR/L, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR3773 Issued in AR

Practice address

3162 W MLK Jr Blvd
Suite 4
Fayetteville, AR 72704

Phone

(479) 435-6636

NPI assigned

Mar 13, 2023

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

Practice roles

Locations

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.

• Kindred Pediatric Therapy, PLC

  • Physical Therapy Clinic/Center
  • Fayetteville, AR
  • NPI 1508574963
  NPD

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1992406474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 SW MIAMI LOOP APT 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727017742",
            "telephone_number": "870-490-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 W MLK JR BLVD",
            "address_2": "SUITE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72704",
            "telephone_number": "479-435-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "KYLIE",
        "middle_name": "JO",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody W Davis, PA
• Tracy Coffman
• Michael Cogan, PT
• Andrew Cohee, DPT
• Coker Medical, PLLC
• Larry D Coker, MD
• Mathew Jack Coker, M.D.
• Tom Patrick Coker, M.D.
• Ethan Paul Cole
• Jannie C Cole

• Occupational Therapist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.