Individual provider Active NPI

Kelly Lou Uanino, OTRL

  • Occupational Therapist
  • Tallahassee, FL
National Provider Identifier
1356746747
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15109 Issued in FL
Practice address
1414 Piedmont Dr E Ste 100
Tallahassee, FL 32308-7967
Phone
(850) 270-7374
Fax
(850) 270-5629
NPI assigned
Oct 28, 2014
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT15109 FL
Occupational Therapist 225X00000X 15109 FL Primary

Addresses

Primary practice location

1414 Piedmont Dr E Ste 100
Tallahassee, FL 32308-7967

Mailing address

1414 Piedmont Dr E Ste 100
Tallahassee, FL 32308-7967
Phone (850) 270-7374

Other practice location 1

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-5164

Other practice location 2

3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174

Other identifiers 1

IdentifierTypeStateIssuer
010113300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200317000602 FL Practitioner - Occupational Therapist in Private Practice 4486082906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Be Strong Therapy Services, LLCGroup PAC ID 7810326105, 3 clinicians

Practice addresses (Care Compare)

1414 Piedmont Dr E
Suite 100
Tallahassee, FL 32308-7967
Phone (850) 270-7374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15109FLMDOccupational Therapist
OT15109FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abbey Folsom PLLC CurrentSince Aug 25, 2024 Accepting new patients
Be Strong Therapy Services, LLC Occupational Therapist CurrentSince Feb 16, 2020 Accepting new patients

Locations

1414 Piedmont Dr E
Ste 10
Tallahassee, FL 32308
Phone (850) 270-7374

1414 Piedmont Dr E
Ste 100
Tallahassee, FL 32308
Phone (850) 270-7374

1882 Capital Cir NE
Ste 201
Tallahassee, FL 32308
Phone (850) 583-0067

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1356746747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 PIEDMONT DR E STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087967",
            "telephone_number": "850-270-7374",
            "fax_number": "850-270-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 PIEDMONT DR E STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087967",
            "telephone_number": "850-270-7374",
            "fax_number": "850-270-5629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Miccosukee Rd",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323085054",
            "country_code": "US",
            "telephone_number": "850-431-5164",
            "fax_number": "850-431-6690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3334 Capital Medical Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084470",
            "country_code": "US",
            "telephone_number": "850-877-8174",
            "fax_number": "850-656-5408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UANINO",
        "first_name": "KELLY",
        "middle_name": "LOU",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15109",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "15109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010113300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.