Healthcare Provider Details

I. General information

NPI: 1083565030
Provider Name (Legal Business Name): CAYLA KRISTA JONES OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3266 WILKINS RD
ITHACA NY
14850
US

IV. Provider business mailing address

3226 WILKINS RD
ITHACA NY
14850-9568
US

V. Phone/Fax

Practice location:
  • Phone: 607-272-5891
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number030886
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: