Kelly Cordasco

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

21253 Issued in FL

Practice address

5691 Naples Blvd
Naples, FL 34109-2023

Phone

(239) 592-6100

NPI assigned

Feb 23, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Myofascial Therapy Inc

  • Occupational Therapist
  • Naples, FL
  • NPI 1104967116
  NPD (past)

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1003514571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FIFTH AVE S",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5691 NAPLES BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092023",
            "telephone_number": "239-592-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDASCO",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendel Cooper, LMHC
• Cade Michael Copeland, D.C.
• Coral Anesthesia Associates Inc
• Coral Anesthesia Associates, Inc
• Kathleen T Corbett, A.R.N.P.
• Lauren K Corder, CRNA
• Javier Alejandro Cordero Abeal
• Hector De Jesus Cordero, MD
• Marianela Cordovez
• Core Health O T PLLC

• Occupational Therapist in Naples, FL
• Providers in Naples, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.