Active NPI
Amy Catherine Kelley, M.S. OT
- Occupational Therapist
- Hollywood, FL
National Provider Identifier
1447460571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT9666
- Practice address
- 3335 N University Dr
Suite 5
Hollywood, FL 33024-2200 - Phone
- (305) 546-6438
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 056007546 | IL | |
| Occupational Therapist | 225X00000X | OT9666 | FL | Primary |
Addresses
Primary practice location
3335 N University Dr
Suite 5
Hollywood, FL 33024-2200
Mailing address
3335 N University Dr
Suite 5
Hollywood, FL 33024-2200
Phone (305) 546-6438
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT9666 | FL | MD | Occupational Therapist |
| 056007546 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1447460571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3335 N UNIVERSITY DR",
"address_2": "SUITE 5",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242200",
"telephone_number": "305-546-6438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3335 N UNIVERSITY DR",
"address_2": "SUITE 5",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242200",
"telephone_number": "305-546-6438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "AMY",
"middle_name": "CATHERINE",
"credential": "M.S. OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056007546",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT9666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.