Active NPI
Kara Cody
- Occupational Therapist
- Port St Lucie, FL
National Provider Identifier
1821716721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12986965-4201
- Practice address
- 11861 SW Lyra Dr
Port St Lucie, FL 34987-6413 - Phone
- (828) 638-1904
- NPI assigned
- Aug 16, 2022
- 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 | 12986965-4201 | UT | Primary |
| Occupational Therapist | 225X00000X | OT22334 | FL |
Addresses
Primary practice location
11861 SW Lyra Dr
Port St Lucie, FL 34987-6413
Mailing address
11861 SW Lyra Dr
Port St Lucie, FL 34987-6413
Phone (828) 638-1904
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 |
|---|---|---|---|
| OT22334 | FL | MD | Occupational Therapist |
| 12986965-4201 | UT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1821716721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11861 SW LYRA DR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349876413",
"telephone_number": "828-638-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11861 SW LYRA DR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349876413",
"telephone_number": "828-638-1904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODY",
"first_name": "KARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "12986965-4201",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT22334",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
- Coastal Care Corporation (Martin Memorial Medicenter at St Lucie West)
- Coastal Family Chiropractic PA
- Coastal Kids Speech, LLC
- Coastal Orthopedic Center, Inc (coastal limbs & brace)
- Sarah Codreanu, MD
- Marvin Ishmeal Cohen, A.R.N.P.
- Brianna Lynn Colando
- Cole Vision Corporation
- Skylar Cole
- Colean Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.