Active NPI
Adrian Delfino Cornelio, P.T.
- Physical Therapist
- Aurora, CO
National Provider Identifier
1043408214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2170
- 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, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135580721 | Medicaid | AR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT2170 | AR | MD | Physical Therapist |
| PTL.0011151 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodrigo D. Rodriguez | Past | 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.
-
dba In Home Therapy Services of America
- Multi-Specialty Clinic/Center
- Aurora, CO
- NPI 1740648187
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.