Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Coronado

Individual provider Speech-Language Pathologist · NPI 1851086136

Kelly Coronado is a Qualified Speech Language Pathologist in Hicksville, New York. Qualified in 2023, 3 years ago. Practices with Metro Physical Occupational Speech Massage Therapy and Acupuncture Pll, a 448-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

400 S Oyster Bay Rd Ste 102
Hicksville, NY 11801-3500
Phone: (631) 240-3579
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1851086136
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 11, 2023
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023
Mailing address9123 220th St, Queens Village, NY 11428-1346

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Metro Physical Occupational Speech Massage Therapy And Acupuncture Pll — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hicksville