Individual provider Active NPI

Adrian Delfino Cornelio, P.T.

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1043408214
Registry record updated Aug 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2170 Issued in AR
Practice address
25476 E Arbor Dr
Aurora, CO 80016-6173
Phone
(720) 505-8053
Fax
(720) 505-8053
NPI assigned
Oct 11, 2007
Last updated
Aug 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2170 AR Primary
Physical Therapist 225100000X PTL.0011151 CO

Addresses

Primary practice location

25476 E Arbor Dr
Aurora, CO 80016-6173

Mailing address

25476 E Arbor Dr
Aurora, CO 80016-6173
Phone (720) 505-8053

Other identifiers 1

IdentifierTypeStateIssuer
135580721MedicaidAR

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2170ARMDPhysical Therapist
PTL.0011151COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rodrigo D. Rodriguez PastSince Aug 7, 2017 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440201600000",
    "number": "1043408214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25476 E ARBOR DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800166173",
            "telephone_number": "720-505-8053",
            "fax_number": "720-505-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25476 E ARBOR DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800166173",
            "telephone_number": "720-505-8053",
            "fax_number": "720-505-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIO",
        "first_name": "ADRIAN",
        "middle_name": "DELFINO",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2015-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2170",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0011151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135580721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2015; 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.