Individual provider Active NPI

Denise A Comiskey, OTR/L

  • Occupational Therapist
  • Saint Cloud, FL
National Provider Identifier
1033216189
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT11474 Issued in FL
Practice address
4417 13TH St
Ste 159
Saint Cloud, FL 34769-6724
Phone
(321) 437-9460
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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 OT11474 FL Primary

Addresses

Primary practice location

4417 13TH St
Ste 159
Saint Cloud, FL 34769-6724

Mailing address

4417 13TH St
Ste 159
Saint Cloud, FL 34769-6724
Phone (321) 437-9460

Other identifiers 1

IdentifierTypeStateIssuer
889610100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070215000171 FL Practitioner - Occupational Therapist in Private Practice 7012919335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4417 13TH St
Suite 159
Saint Cloud, FL 34769-6724

4767 Old Canoe Creek Rd
Saint Cloud, FL 34769-1400
Phone (321) 437-9460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT11474FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Therapy Services LLC Occupational Therapist CurrentSince Mar 1, 2021 Accepting new patients

Locations

4417 13th St
Saint Cloud, FL 34769
Phone (321) 250-2496

4767 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (321) 437-9460

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1033216189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 13TH ST",
            "address_2": "STE 159",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696724",
            "telephone_number": "321-437-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 13TH ST",
            "address_2": "STE 159",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696724",
            "telephone_number": "321-437-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMISKEY",
        "first_name": "DENISE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889610100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.