Cheryl Lynn Corallo, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12120 Issued in NC

Practice address

193 Asheville Hwy
Sylva, NC 28779-2731

Phone

(828) 586-8935

NPI assigned

Jul 28, 2021

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Functional Freedom Occupational Therapy PLLC

  • Occupational Therapist
  • Franklin, NC
  • NPI 1932963956
  NPD Authorized official

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1992478796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 FAIRWAY DR",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287347734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 ASHEVILLE HWY",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287792731",
            "telephone_number": "828-586-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORALLO",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "12120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Osada Cook, LCSW
• Tanjalesa Cook, LCSW
• Victoria L Cook, COUNSELOR
• Brandi L Cooper
• Michelle K Cooper, PHD, HSPP, LCAS,CCS
• Cornbread & Roses Community Counseling Inc
• Eduardo Antonio Correa, LCMHC, LCAS-A
• Tiffany Watson Councill, ACNP-BC
• County of Jackson
• County of Jackson

• Occupational Therapist in Sylva, NC
• Providers in Sylva, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.