Individual provider Active NPI

Amy Radano, OT

  • Occupational Therapist
  • Lakeland, FL
National Provider Identifier
1972970887
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT11201 Issued in FL
Practice address
1010 Carpenters Way
Lakeland, FL 33809-3926
Phone
(863) 815-0488
NPI assigned
Aug 26, 2015
Last updated
Aug 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT11201 FL Primary

Addresses

Primary practice location

1010 Carpenters Way
Lakeland, FL 33809-3926

Mailing address

1010 Carpenters Way
Lakeland, FL 33809-3926

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251215003826 FL Practitioner - Occupational Therapist in Private Practice 5092209296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Befit Rehabilitation LLCGroup PAC ID 2860990074, 11 clinicians

Practice addresses (Care Compare)

4145 Lakeland Hills Blvd
Lakeland, FL 33805-1920
Phone (727) 242-8630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT11201FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Befit Rehabilitation LLC Occupational Therapist CurrentSince Dec 15, 2025 Accepting new patients
On Site Dermatology LLC PastSince Dec 15, 2025 Accepting new patients

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": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1972970887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARPENTERS WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CARPENTERS WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093926",
            "telephone_number": "863-815-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADANO",
        "first_name": "AMY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.