Patricia K Kelly, OTA9207

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA9207 Issued in FL

Practice address

602 Vonderburg Dr
200
Brandon, FL 33511-5900

Phone

(813) 653-1149

NPI assigned

Nov 28, 2012

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

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1194060475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 TALLYWOOD DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342373226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 VONDERBURG DR",
            "address_2": "200",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115900",
            "telephone_number": "813-653-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "PATRICIA",
        "middle_name": "K",
        "credential": "OTA9207",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA9207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Casey Kelley, AU.D.
• Barbara Eileen Kelly
• Dasia Kelly, RBT
• Meghan Kelly, MED, BCBA
• Melissa Kelly, M.S., C.C.C.
• Stephanie Ann Kelly, MA, LMHC
• Ashley Kemp, SA
• Bobby Wayne Kemp II, PHARM.D.
• Katrina Dawn Kemp, PA-C
• Cheyenne Kendrick

• Occupational Therapy Assistant in Brandon, FL
• Providers in Brandon, 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 Nov 28, 2012; 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.