Individual provider Active NPI

Kellan Quigley, OT

  • Occupational Therapist
  • Gainesville, FL
National Provider Identifier
1184098428
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT15736 Issued in FL
Practice address
3700 Windmeadows Blvd Apt A13
Gainesville, FL 32608-0425
Phone
(352) 727-1158
Fax
(352) 732-8890
NPI assigned
Nov 24, 2015
Last updated
Nov 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT15736 FL Primary

Addresses

Primary practice location

3700 Windmeadows Blvd Apt A13
Gainesville, FL 32608-0425

Mailing address

2700 Windmeadows Blvd
Apt A13
Gainesville, FL 32608-0425
Phone (352) 727-1158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT15736FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1184098428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WINDMEADOWS BLVD",
            "address_2": "APT A13",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326080425",
            "telephone_number": "352-727-1158",
            "fax_number": "352-732-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WINDMEADOWS BLVD APT A13",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326080425",
            "telephone_number": "352-727-1158",
            "fax_number": "352-732-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIGLEY",
        "first_name": "KELLAN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.