Active NPI
Cornish Therapeutic Care Inc
- Physical Therapist
- Largo, FL
National Provider Identifier
1063459295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19198
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Francis Cornish, PHYSICAL THERAPIST
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887320896 | Medicaid | FL | |
| 889996700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Clearwater, FL
- NPI 1740230341
-
- Occupational Therapist
- Redington Beach, FL
- NPI 1235431362
-
- Occupational Therapist
- Saint Petersburg, FL
- NPI 1225077621
-
- Occupational Therapist
- Grand Junction, CO
- NPI 1104863992
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.