Active NPI
Kiriam Cordero Delgado, OT
- Occupational Therapist
- Homestead, FL
National Provider Identifier
1497422901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT19730
- Practice address
- 30054 SW 158TH CT
Homestead, FL 33033-3448 - Phone
- (954) 612-7771
- NPI assigned
- Aug 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT19730 | FL | Primary |
Addresses
Primary practice location
30054 SW 158TH CT
Homestead, FL 33033-3448
Mailing address
7733 Paradise Island Blvd
Jacksonville, FL 32256-3766
Phone (787) 415-2783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3419 Westminster Ave
Suite 1062
Dallas, TX 75205-1387
814 N Main St
Kissimmee, FL 34744-4564
8822 Mugwort Dr
Richmond, TX 77469-2485
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125761 | TX | MD | Licensed Practical Nurse |
| OT19730 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids First Therapy Center Inc | Single Specialty | Current | Accepting new patients |
| Kids First Therapy Center Inc. | Single Specialty | Current | Accepting new patients |
| Therap Kids SLP Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Richmond, TX
- NPI 1962295519
Single Specialty
-
- Speech-Language Pathologist
- Homestead, FL
- NPI 1790226199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1497422901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7733 PARADISE ISLAND BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322563766",
"telephone_number": "787-415-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30054 SW 158TH CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330333448",
"telephone_number": "954-612-7771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDERO DELGADO",
"first_name": "KIRIAM",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT19730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.