Active NPI
Nicole Marie Cornett, DPT
- Physical Therapist
- Centerville, OH
National Provider Identifier
1144909045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13268
- Practice address
- 6438 Wilmington Pike Ste 230
Centerville, OH 45459-7021 - Phone
- (937) 558-3810
- Fax
- (937) 558-3811
- NPI assigned
- Jul 17, 2023
- 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 | 13268 | OH | Primary |
Addresses
Primary practice location
6438 Wilmington Pike Ste 230
Centerville, OH 45459-7021
Mailing address
12400 Hemple Rd
Farmersville, OH 45325-8208
Phone (937) 477-1999
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 |
|---|---|---|---|
| 13268 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Medical Center | Past | Accepting new patients |
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.
-
- Long Term Care Pharmacy
- Miamisburg, OH
- NPI 1205005063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1144909045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 HEMPLE RD",
"city": "FARMERSVILLE",
"state": "OH",
"postal_code": "453258208",
"telephone_number": "937-477-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6438 WILMINGTON PIKE STE 230",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454597021",
"telephone_number": "937-558-3810",
"fax_number": "937-558-3811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNETT",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "13268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.