MEDICARE: KAYLA PARRISH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	OTA14954	FL

General Provider Information

NPI Number	:	1467305805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLA PARRISH

Provider Business Mailing Address
First Line	:	12637 TYLER RUN AVE
Second Line	:
City	:	ODESSA
State	:	FL
Zip	:	33556-5209
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 STARKEY BLVD
Second Line	:
City	:	TRINITY
State	:	FL
Zip	:	34655-2175
Country	:	US
Telephone Number	:	813-364-2391
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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