Kordan Dee Nielson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

8679 E San Alberto
Scottsdale, AZ 85258-4368

Phone

(480) 447-3262

NPI assigned

Dec 27, 2022

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• CJPS Home Care, LLC

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1508441932
  NPD
• Stellar Home Health, LLC

  • In Home Supportive Care Agency
  • Phoenix, AZ
  • NPI 1851825004
  NPD (past)

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1235842956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 S POWER RD APT 2273",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064343",
            "telephone_number": "435-559-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8679 E SAN ALBERTO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584368",
            "telephone_number": "480-447-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "KORDAN",
        "middle_name": "DEE",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob William Nicoll, OTR
• Russell Nicoll, P.A.
• Kristin Marie Niedbala, OTR
• Dianna H Nielsen
• Jacquelyn Nielson, NMD
• Stephen L Nielson, DC
• Brittany Niemeyer, RN, BSN
• Stephanie Niemyjski, RN
• Gail Nierad, R.N.
• Lilli Niester

• Occupational Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.