Kimberly Blakely, OT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT 11602 Issued in FL

Practice address

231 N New York Ave
Winter Park, FL 32789-3117

Phone

(407) 599-3700

NPI assigned

Feb 9, 2015

Last updated

Feb 9, 2015By the provider in NPPES

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

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportscare Institute LLCGroup PAC ID 2365626272, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.03 of 100Reported as group

Quality

77.92

Promoting interoperability

99

Improvement activities

40

Cost

79.67

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sportscare Institute, LLC

  • Physical Therapist
  • Winter Park, FL
  • NPI 1336466671

  Hand

  Medicare reassignment Care Compare group NPD
• Rothman Orthopaedics of Florida,PLLC

  dba Rothman Orthopaedic Institute

  • Orthopaedic Surgery Physician
  • Orlando, FL
  • NPI 1669086872
  Medicare reassignment NPD
• Rothman Orthopaedics of Florida,PLLC

  dba Rothman Orthopaedic Institute

  • Prosthetic/Orthotic Supplier
  • Winter Park, FL
  • NPI 1891371779
  NPD

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1568853836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 N NEW YORK AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N NEW YORK AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893117",
            "telephone_number": "407-599-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKELY",
        "first_name": "KIMBERLY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT 11602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Barbara Bitetto Davis, APRN
• Mary Ann Black, RN
• Michele Catherine Black, M.A.CCC-SLP
• Victoria Marie Black
• Cassidy Rose Blackton
• Gloria Clemencia Blakley, MA-CMHC-CABA
• Dany Blanchet, OTR/L
• John L Blankemeier, MD
• Ikram Blaoui
• Gage Bleiler, RMHCI

• Hand Occupational Therapist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Hand Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.