Anthony Cornelio, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13634 Issued in CT

Practice address

1 Bradley Rd Ste 801
Woodbridge, CT 06525-2296

Phone

(203) 389-4593

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Male

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

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amity Physical Therapy LLCGroup PAC ID 1850375338, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Amity Physical Therapy LLC

  • Physical Therapist
  • Woodbridge, CT
  • NPI 1528191426
  Medicare reassignment Care Compare group NPD
• Foot & Ankle Physical Therapy & Rehab Medicine

  • Physical Therapist
  • Milford, CT
  • NPI 1164591459
  NPD (past)

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1043948292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRADLEY RD STE 801",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252296",
            "telephone_number": "203-389-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRADLEY RD STE 801",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252296",
            "telephone_number": "203-389-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIO",
        "first_name": "ANTHONY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connecticut Foot and Ankle Associates, Inc
• Connecticut Neurosurgery PC
• Connecticut Neurosurgery, PC
• Connecticut Psychiatric & Wellness Center
• Connecticut Psychiatric & Wellness Center
• Erika L Cuffy, LCSW
• Emanuela Natasha Dacruz, COTA/L
• Alan Cahn Davidson, M.D.
• Patricia Davis, CPNP
• Dayspring Therapeutic Group LLC (Dayspring Therapeutic Group)

• Physical Therapist in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.