Individual provider Active NPI

Kiriam Cordero Delgado, OT

  • Occupational Therapist
  • Homestead, FL
National Provider Identifier
1497422901
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT19730 Issued in FL
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

Updated by the provider on Aug 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251230002662 TX Practitioner - Occupational Therapist in Private Practice 3375039266 Reassigns benefits to 1 organization
I20260302001256 FL Practitioner - Occupational Therapist in Private Practice 3375039266 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
125761TXMDLicensed Practical Nurse
OT19730FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids First Therapy Center Inc Single Specialty CurrentSince Jan 18, 2026 Accepting new patients
Kids First Therapy Center Inc. Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Therap Kids SLP Inc. PastSince Aug 29, 2021 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.

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.

Verify at the official NPI Registry.