Active NPI
Carol Ann Kiely, MOT
- Occupational Therapist
- Gainesville, FL
National Provider Identifier
1528330164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15022
- Practice address
- 250 NW 76TH Dr
Gainesville, FL 32607-6668 - Phone
- (352) 505-6363
- NPI assigned
- Jan 28, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15022 | FL | Primary |
Addresses
Primary practice location
250 NW 76TH Dr
Gainesville, FL 32607-6668
Mailing address
2036 NW 34TH Ter
Gainesville, FL 32605-3614
Phone (352) 871-5375
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15022 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327708800000",
"number": "1528330164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2036 NW 34TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326053614",
"telephone_number": "352-871-5375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 NW 76TH DR",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326076668",
"telephone_number": "352-505-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIELY",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-28",
"last_updated": "2012-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "15022",
"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 Jan 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.