Debbie Cornejo, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4694 Issued in CA

Practice address

3251 W 6TH St Ste 401
Los Angeles, CA 90020-5029

Phone

(310) 954-9614

NPI assigned

Sep 6, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Thrive and Shine Speech Therapy, Inc.

  • Speech-Language Pathologist
  • Beverly Hills, CA
  • NPI 1245620384
  NPD
• Thrive and Shine Therapy

  • Pediatric Physical Therapist
  • Los Angeles, CA
  • NPI 1598583171
  NPD

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1144055344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 S LA CIENEGA BLVD STE 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113357",
            "telephone_number": "310-954-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 W 6TH ST STE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205029",
            "telephone_number": "310-954-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEJO",
        "first_name": "DEBBIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "4694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Cynthia Corn, MD
• Danielle Cornacchio, PHD
• Diana Laura Cornejo Burgos
• Claudia Cornejo
• Dayanara Cornejo
• Kimberly Cornejo
• Marlo Cornejo, LCSW
• Melina Cornejo
• Patricia Cornejo, M.D.
• Ines Cornelio

• Occupational Therapy Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.