Active NPI
Zachary Corsell
- Occupational Therapy Assistant
- Brooksville, FL
National Provider Identifier
1811520356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 15530
- Practice address
- 1114 Chatman Blvd
Brooksville, FL 34601-3104 - Phone
- (352) 796-6701
- NPI assigned
- Feb 12, 2020
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 224Z00000X | 15530 | FL | Primary |
Addresses
Primary practice location
1114 Chatman Blvd
Brooksville, FL 34601-3104
Mailing address
10937 Inglewood Ave
Port Richey, FL 34668-2512
Phone (727) 389-2777
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15530 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1811520356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10937 INGLEWOOD AVE",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346682512",
"telephone_number": "727-389-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 CHATMAN BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346013104",
"telephone_number": "352-796-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSELL",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-12",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "15530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooksville, FL
- John Hill Coppedge Jr., OD
- John Coppeta, DPT
- Antonio Cordova
- Sheila M Cornett
- Sarah Katherine Cornwell, DNP, APRN, FNP-C
- Kristen Costa
- Allison Rose Cotto, OTR/L
- Justin Cotto, PT, DPT, IADN CERT.
- Country Cottage on Main Street Adult Day Care Center, LLC
- County of Hernando Board of County Commissioners
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.