Active NPI
Charlotte Cornog
- Occupational Therapist
- Lafayette Hill, PA
National Provider Identifier
1144748575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17816
- Practice address
- 3009 Church Rd
Lafayette Hill, PA 19444-1707 - Phone
- (215) 833-2155
- NPI assigned
- Sep 6, 2017
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17816 | CA | Primary |
Addresses
Primary practice location
3009 Church Rd
Lafayette Hill, PA 19444-1707
Mailing address
3009 Church Rd
Lafayette Hill, PA 19444-1707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17816 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1144748575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 CHURCH RD",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 CHURCH RD",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441707",
"telephone_number": "215-833-2155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNOG",
"first_name": "CHARLOTTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "17816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette Hill, PA
- Theresa Renee Clark, COTA/L
- Victoria S Clark, PH.D.
- Bryan H. Cohen, M.A., M.ED
- Marlene Samuels Cohen, MS, OTR/L
- Core Treatment Services, LLC
- Aileen Beauchamp Costello, MSW, LSW
- Daniella C Cavenagh PHD PLLC
- Veena Srinath Devarakonda, M.D,
- Christina Devereaux, LPC, LMHC, LCAT
- Kathleen Leflar Dileva, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.