Kellie Schmidt, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA17530 Issued in FL

Practice address

5575 Pleasantview CT
Bradenton, FL 34211-2758

Phone

(816) 885-0497

Fax

(855) 232-8604

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1053870196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 PLEASANTVIEW CT",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342112758",
            "telephone_number": "816-885-0497",
            "fax_number": "855-232-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 PLEASANTVIEW CT",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342112758",
            "telephone_number": "816-885-0497",
            "fax_number": "855-232-8604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 NE Meadowview Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640641983",
            "country_code": "US",
            "telephone_number": "816-885-0497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KELLIE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "1801434",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2015031004",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA17530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Manfred Schilling, LPN
• Melissa L Schindel-Kaplan, D.D.S.
• Kristen Talton Schipani, MS, CCC-SLP
• Kalyn Nichole Schirack
• Amanda Schmeising
• Sabra Schmidt, LPN
• Sue E. Schmidt, APRN
• Laura Yvonne Schmitz, PA
• Stacy Schmoll, LCSW
• Joseph Simon Schneider, DPT

• Occupational Therapy Assistant in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.