Active NPI
Barry William Corcoran, COTA/L
- Occupational Therapy Assistant
- Tarpon Springs, FL
National Provider Identifier
1912560749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 17054
- Practice address
- 515 Chesapeake Dr
Tarpon Springs, FL 34689-2515 - Phone
- (727) 934-4629
- NPI assigned
- Apr 17, 2019
- Last updated
- Apr 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 17054 | FL | Primary |
Addresses
Primary practice location
515 Chesapeake Dr
Tarpon Springs, FL 34689-2515
Mailing address
20 Plover PL
Palm Harbor, FL 34683-4830
Phone (727) 254-0375
Other names 1
- Barry W Corcoran
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 |
|---|---|---|---|
| 17054 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1912560749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PLOVER PL",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346834830",
"telephone_number": "727-254-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 CHESAPEAKE DR",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346892515",
"telephone_number": "727-934-4629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORCORAN",
"first_name": "BARRY",
"middle_name": "WILLIAM",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "17054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BARRY",
"last_name": "CORCORAN",
"middle_name": "W",
"credential": "COTA/L",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tarpon Springs, FL
- Community Health Center of Pinellas Inc (Community Health Center at Tarpon Springs)
- Community Health Center of Pinellas Inc (Evara Health)
- Gloria D Constantas, M.A.
- Panayiotis Constantas, PH.D.
- Catherine Ann Cooper, MA
- Cornelius J. McGeehan D.C., Inc.
- Lara L Cortes, APRN
- Covenant Home Health Care 5, LLC
- Heather Cross, MA, CAP
- Crossroads Therapy and Counseling Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.