KELLIE LOVE WILLIS (NPI# 1144868555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144868555 |
| Entity Type | Individual |
| Full Name | KELLIE LOVE WILLIS |
| Other Name | MRS. KELLIE LOVE WILLIS |
| Credential | COTA/L |
| Practice Address |
3492 Martin Hurst Rd Tallahassee FL 32312-1702 |
| Mailing Address |
12495 Holey Rd Tallahassee FL 32317-9607 |
| Practice Telephone | 8502949716 |
| Mailing Telephone | 8503228219 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA14701 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093375743 | Kellie Ann Willis | Speech-Language Pathologist | 465 N Park Dr Apt 711, Chicago, IL 60611-0004 | 2019-06-15 |
| Street Address |
3492 MARTIN HURST RD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32312-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518132406 | Pediatria Healthcare, LLC | Clinic/Center | 3492 Martin Hurst Rd, Tallahassee, FL 32312-1702 | 2008-04-23 |
| 1730793100 | Annie Catherine Willis | Occupational Therapy Assistant | 3492 Martin Hurst Rd, Tallahassee, FL 32312-1702 | 2020-09-03 |
| 1841824935 | Victoria Kistler | Occupational Therapy Assistant | 3492 Martin Hurst Rd, Tallahassee, FL 32312-1702 | 2020-02-27 |
| 1205476678 | Jessica Kingry | Occupational Therapist | 3492 Martin Hurst Rd, Tallahassee, FL 32312-1702 | 2020-01-13 |
| 1851896518 | Cydney Close | Occupational Therapy Assistant | 3492 Martin Hurst Rd, Tallahassee, FL 32312-1702 | 2018-03-26 |
| 1306196126 | Jimmie Rhea Crain | Respiratory Therapist, Registered | 3492 Martin Hurst Rd, Tallahassee, FL 32312-1702 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274235 | Jennifer Stinson | Technician | 10014 Journeys En, Tallahassee, FL 32312 | 2019-09-19 |
| 1528581766 | Amanda Michele Chandler | Counselor | 2634 Capital Circle N.e., Tallahassee, FL 32312 | 2017-07-19 |
| 1902330871 | Therese Melendez | Recreation Therapist | 9346 Buck Haven Trl, Tallahassee, FL 32312 | 2017-04-17 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1568819753 | Kaydi Blackstock | Specialist/Technologist | 7200 Lawton Chiles Ln, Tallahassee, FL 32312 | 2016-05-18 |
| 1275994212 | Tiffany Coleman | Pharmacist | 6680 Thomasville Road, Tallahassee, FL 32312 | 2016-03-18 |
| 1659743235 | Psychological Center | Community/Behavioral Health | 8819 Minnow Creek Dr, Tallahassee, FL 32312 | 2015-10-22 |
| 1780098723 | Andrew Bellebaum | Dentist | 554 Keily Street Bureau of Med and Sur, Centralized Credentials and Privilegeing, Jacksonville, FL 32312 | 2014-06-18 |
| 1851714299 | Hf Acupuncture and Chinese Medicine Center LLC | Acupuncturist | 1282 Timberlane Rd, Tallahassee, FL 32312 | 2014-01-21 |
| 1629326061 | Ana E Raynolds | Speech-Language Pathologist | 3457 Cedarwood Trail, Tallahassee, FL 32312 | 2012-08-15 |
| Find all providers in zip 32312 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679051601 | Anna Jacobs | Occupational Therapy Assistant | 6040 Michaela Way, Tallahassee, FL 32303 | 2018-08-01 |
| 1265933501 | Tamara Lynn Tucker | Occupational Therapy Assistant | 1331 E Lafayette St Ste F, Tallahassee, FL 32301-4767 | 2018-02-22 |
| 1053842633 | Courtney Schaffner | Occupational Therapy Assistant | 3206 Apollo Trl, Tallahassee, FL 32309-1902 | 2017-03-24 |
| 1972953248 | Lauren Robertson | Occupational Therapy Assistant | 980 Marys Dr, Tallahassee, FL 32308-5261 | 2016-06-17 |
| 1093178287 | Jordan Thomas Mader | Occupational Therapy Assistant | 7036 Grenville Rd, Tallahassee, FL 32309-9002 | 2016-04-04 |
| 1104283274 | Monica Echevarry | Occupational Therapy Assistant | 805 Concord Rd, Tallahassee, FL 32308-6213 | 2016-01-20 |
| 1538532544 | Patricia Gemuend | Occupational Therapy Assistant | 1800 Miccosukee Commons Dr Apt 103, Tallahassee, FL 32308-5434 | 2015-11-12 |
| 1467824631 | Jessica Ward | Occupational Therapy Assistant | 2301 Old Bainbridge Rd, Apartment 1406, Tallahassee, FL 32303-3853 | 2015-10-27 |
| 1689046112 | Letha Queshandra Williams | Occupational Therapy Assistant | 1833 Halstead Blvd Apt 1015, Tallahassee, FL 32309-3475 | 2015-10-23 |
| 1366835894 | Stephanie Leigh Schulz | Occupational Therapy Assistant | 4452 Argyle Ln, Tallahassee, FL 32309-9611 | 2015-03-09 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32312 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.