Individual provider Active NPI

Melissa Elaine Cordell, MOTR

  • Occupational Therapist
  • Ocala, FL
National Provider Identifier
1619273141
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT14808 Issued in FL
Practice address
2416 SE 22ND PL
Ocala, FL 34471-8221
Phone
(920) 946-3594
NPI assigned
Feb 1, 2011
Last updated
Jan 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4865-026 WI
Occupational Therapist 225X00000X OT14808 FL Primary

Addresses

Primary practice location

2416 SE 22ND PL
Ocala, FL 34471-8221

Mailing address

2416 SE 22ND PL
Ocala, FL 34471-8221
Phone (920) 946-3594

Other practice location 1

3821 S Chicago Ave
South Milwaukee, WI 53172-3712
Phone (414) 762-7336 ext. 563

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

State licenses

LicenseStateTypeSpecialty
OT14808FLMDOccupational Therapist
4865-026WIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1619273141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 SE 22ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718221",
            "telephone_number": "920-946-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 SE 22ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718221",
            "telephone_number": "920-946-3594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3821 S Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "South Milwaukee",
            "state": "WI",
            "postal_code": "531723712",
            "country_code": "US",
            "telephone_number": "414-762-7336 x563",
            "fax_number": "414-766-0709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDELL",
        "first_name": "MELISSA",
        "middle_name": "ELAINE",
        "credential": "MOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "4865-026",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.