Kayla Marie Span, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007871 Issued in GA

Practice address

285 Summerlin Blvd
Newnan, GA 30265-6299

Phone

(678) 990-8918

NPI assigned

Aug 21, 2024

Last updated

Aug 21, 2024By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Af Therapy Clinic, LLC

  • Speech-Language Pathologist
  • Middleburg Heights, OH
  • NPI 1609540228
  NPD (past)
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1992538375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 LAKESIDE WAY",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655612",
            "telephone_number": "678-777-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SUMMERLIN BLVD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656299",
            "telephone_number": "678-990-8918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 Prime Pt",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302693310",
            "country_code": "US",
            "telephone_number": "770-631-0205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAN",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Pain and Spine Associates, LLC
• Southern Smiles Newnan
• Southern Vein Care
• Southside Family Chiropractic LLC
• Meghan Spain
• Alexandria Celeste Spates, LAPC
• Spectrum Health Services
• Taylor Brooke Speed, AUD
• George Eugene Spier, MD
• Margaret Spitzer, RBT

• Occupational Therapist in Newnan, GA
• Providers in Newnan, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.