Active NPI
Elaine Claire-Maria Cordeiro
- Occupational Therapist
- Cary, NC
National Provider Identifier
1578961918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9407
- Practice address
- 110 Kildaire Park Dr
Cary, NC 27518-8161 - Phone
- (919) 235-1989
- NPI assigned
- Dec 17, 2014
- Last updated
- Apr 11, 2023
- 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 | 9407 | NC | Primary |
Addresses
Primary practice location
110 Kildaire Park Dr
Cary, NC 27518-8161
Mailing address
PO Box 603949
Charlotte, NC 28260-3949
Other practice location 1
121 E Cedar St
Florence, SC 29506-2576
Phone (734) 754-6072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1578961918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603949",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 KILDAIRE PARK DR",
"city": "CARY",
"state": "NC",
"postal_code": "275188161",
"telephone_number": "919-235-1989"
}
],
"practiceLocations": [
{
"address_1": "121 E Cedar St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295062576",
"country_code": "US",
"telephone_number": "734-754-6072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORDEIRO",
"first_name": "ELAINE",
"middle_name": "CLAIRE-MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-17",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.