Active NPI
Kordell J Howell, COTA/L
- Occupational Therapy Assistant
- Bountiful, UT
National Provider Identifier
1891970174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3939
- Practice address
- 450 S 400 E
Suite 200
Bountiful, UT 84010-4938 - Phone
- (801) 867-1701
- NPI assigned
- Jan 4, 2008
- 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 | 3939 | AZ | Primary |
Addresses
Primary practice location
450 S 400 E
Suite 200
Bountiful, UT 84010-4938
Mailing address
2100 N Dana Dr
Cedar City, UT 84720-8732
Phone (435) 867-5586
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 |
|---|---|---|---|
| 3939 | AZ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199404800000",
"number": "1891970174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 N DANA DR",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847208732",
"telephone_number": "435-867-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 S 400 E",
"address_2": "SUITE 200",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840104938",
"telephone_number": "801-867-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWELL",
"first_name": "KORDELL",
"middle_name": "J",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-04",
"last_updated": "2008-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "3939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.