Active NPI
Melissa Elaine Cordell, MOTR
- Occupational Therapist
- Ocala, FL
National Provider Identifier
1619273141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT14808
- Practice address
- 2416 SE 22ND PL
Ocala, FL 34471-8221 - Phone
- (920) 946-3594
- NPI assigned
- Feb 1, 2011
- Last updated
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT14808 | FL | MD | Occupational Therapist |
| 4865-026 | WI | MD | Occupational 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
- Ashley Copeland
- Dianne Gladys Copenhaver, ARNP
- Cora Health Services, Inc. (CORA Physical Therapy - West Ocala)
- Cora Health Services, Inc. (CORA Physical Therapy - East Ocala)
- Coram Alternate Site Services, Inc. (coram cvs/specialty Infusion Services)
- Veronica Cordero Fernandez, MD
- Pamela Corkern, ARNP
- Shannon Maura Corkrean, PHARMD
- Tammy L Corley
- Joanne H Cornell Ohlman, PHD
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.