Kornerstone Kids PS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KORNERSTONE KIDS PS

Practice address

400 Sequoia Dr
Suite 120
Bellingham, WA 98226-7133

Phone

(360) 354-1115

NPI assigned

Feb 24, 2016

Organization subpart

No

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

Authorized official

Name

Greg Penner

Title

Founder

Phone

(360) 354-1115

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1023478641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8862 BENDER RD",
            "address_2": "SUITE 202",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982648800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SEQUOIA DR",
            "address_2": "SUITE 120",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267133",
            "telephone_number": "360-354-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORNERSTONE KIDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "PENNER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "360-354-1115"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Sarah Kononenko, LMHCA
• Camille Marie Koontz, N.D.
• Maya Koopman, MD
• Taynin Kopanos, NP
• Lynn Ellen Korner, LMP
• Ruth Mariane Kors Gahlbeck, LMP
• Zoe Korten
• Kara Kosco, DPT, PT
• Rita A Kostelik, ARNP
• Amber Kostial

• Physical Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.