Kendra Cordero Nelson, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010301 Issued in GA

Practice address

370 River Road
Athens, GA 30602

Phone

(706) 542-8634

Fax

(706) 583-0217

NPI assigned

Sep 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kendra Louise Cordero Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1598072845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 RIVER ROAD",
            "address_2": "UNIVERSITY HEALTH CENTER PHYSICAL THERAPY DEPARTMENT",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30602",
            "telephone_number": "706-542-8634",
            "fax_number": "706-583-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 RIVER ROAD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30602",
            "telephone_number": "706-542-8634",
            "fax_number": "706-583-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KENDRA",
        "middle_name": "CORDERO",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37041",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "CORDERO",
            "middle_name": "LOUISE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meagan Nelms, RN
• Merissa Ferrar Nelms, DDS
• Angela Denise Nelson-Williams, RN
• Hannah Harwood Nelson, PH.D.
• Jason M. Nelson, PH.D.
• Michael E Nelson, MD
• Nephron Corporation
• Mattilyn Nerowski, LMSW
• Adriana Maria Nestoiter, M.D.
• Kalli Neuroth, DNP

• Physical Therapist in Athens, GA
• Providers in Athens, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.