Joanna Corliss, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT9981 Issued in FL

Practice address

2435 Aqua Vista Blvd
Fort Lauderdale, FL 33301-1546

Phone

(305) 804-4912

NPI assigned

Nov 16, 2016

Last updated

Nov 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stellar Therapy Services LLCGroup PAC ID 6901213024, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stellar Therapy Services LLC

  • Physical Therapist
  • Wilton Manors, FL
  • NPI 1184212375
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1851833289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 AQUA VISTA BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011546",
            "telephone_number": "305-804-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 AQUA VISTA BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011546",
            "telephone_number": "305-804-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLISS",
        "first_name": "JOANNA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT9981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Focus Pilates Rehabilitation and Fitness Inc
• Core Medical Supply,LLC
• Core Point Holdings (Core Connect Medical)
• Laura Hagen Corey
• Randy Corinthian
• Cornerstone Caregiving East LLC
• Cornerstone Caregiving East LLC
• Cornerstone Deliverance & Development Ministries for Christ, Inc
• Cornerstone Recovery Center, Inc.
• Cornerstone Recovery Center, Inc.

• Occupational Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.