Organization Active NPI

Cornish Therapeutic Care Inc

  • Physical Therapist
  • Largo, FL
National Provider Identifier
1063459295
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19198 Issued in FL
Legal business name
CORNISH THERAPEUTIC CARE INC
Practice address
11590 Seminole Blvd
Suite C-4
Largo, FL 33778-3204
Phone
(727) 251-8903
Fax
(727) 393-5986
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Mr. Michael Francis Cornish, PHYSICAL THERAPISTNPI 1740230341
Title
President
Phone
(727) 251-8903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT19198 FL Primary

Addresses

Primary practice location

11590 Seminole Blvd
Suite C-4
Largo, FL 33778-3204

Mailing address

16128 4TH St E
Redington Beach, FL 33708-1614
Phone (727) 251-8903

Other identifiers 2

IdentifierTypeStateIssuer
887320896MedicaidFL
889996700MedicaidFL

National Provider Directory

National Provider Directory

Locations

11590 Seminole Blvd
Ste C4
Largo, FL 33778
Phone (651) 503-6037

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1063459295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16128 4TH ST E",
            "city": "REDINGTON BEACH",
            "state": "FL",
            "postal_code": "337081614",
            "telephone_number": "727-251-8903",
            "fax_number": "727-393-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11590 SEMINOLE BLVD",
            "address_2": "SUITE C-4",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783204",
            "telephone_number": "727-251-8903",
            "fax_number": "727-393-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNISH THERAPEUTIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "CORNISH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-251-8903",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887320896",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889996700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.