Shelby Ann Cornell, OTR

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

OT24550 Issued in FL

Practice address

336 S Powerline Rd
Deerfield Beach, FL 33442-8105

Phone

(845) 264-2072

NPI assigned

May 11, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Florida Movement Therapy Center-Boca Raton, LLC

  • Geriatric Physical Therapist
  • Boca Raton, FL
  • NPI 1407118268
  NPD
• Florida Movement Therapy Center-Boynton Beach Inc

  • Physical Therapist
  • Boynton Beach, FL
  • NPI 1013105196
  NPD
• Florida Movement Therapy Center-Gardens LLC

  • Neurology Physical Therapist
  • West Palm Beach, FL
  • NPI 1659825891
  NPD (past)

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1629714753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W CORAL TRACE CIR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453603",
            "telephone_number": "845-264-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S POWERLINE RD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428105",
            "telephone_number": "845-264-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "SHELBY",
        "middle_name": "ANN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "026675",
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "FL",
            "license": "OT24550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurea R Cordova-Crosby
• Naica Corelien
• Chaniqua Corinealdi
• Stephanie Cormier
• Chyanne-Claryce Cornell
• Kimberly Ann Coronado, C PHT
• Lesana Corporan
• Hanna Corredor
• Nohora Corregan
• Vanda Correia

• Pediatric Rehabilitation Medicine Physician in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Pediatric Rehabilitation Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2024; 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.