Active NPI
Meagan Cornforth
- Physical Therapist
- Los Gatos, CA
National Provider Identifier
1144052291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT306696
- Practice address
- 987 University Ave Ste 18
Los Gatos, CA 95032-7640 - Phone
- (408) 356-2800
- NPI assigned
- Aug 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT306696 | CA | Primary |
Addresses
Primary practice location
987 University Ave Ste 18
Los Gatos, CA 95032-7640
Mailing address
2145 The Alameda
San Jose, CA 95126-1141
Phone (408) 248-6886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240920003395 | CA | Practitioner - Physical Therapist in Private Practice | 2961943642 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT306696 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| More Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1633 Old Bayshore Hwy
Ste 145
Burlingame, CA 94010
Phone (650) 239-9075
987 University Ave
Ste 18
Los Gatos, CA 95032
Phone (408) 356-2800
2145 The Alameda
San Jose, CA 95126
Phone (408) 248-6886
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1144052291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2145 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951261141",
"telephone_number": "408-248-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "987 UNIVERSITY AVE STE 18",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950327640",
"telephone_number": "408-356-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNFORTH",
"first_name": "MEAGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-16",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT306696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.