Active NPI
Kelly Lou Uanino, OTRL
- Occupational Therapist
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15109
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010113300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15109 | FL | MD | Occupational Therapist |
| OT15109 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbey Folsom PLLC | Current | Accepting new patients | |
| Be Strong Therapy Services, LLC | Occupational Therapist | Current | 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.