Individual provider Active NPI

Riley Kathleen Cornacchini, R-DMT

  • Dance Therapist
  • Chicago, IL
National Provider Identifier
1215802509
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dance TherapistTaxonomy code 225600000X
License
3068 Issued in IL
Practice address
1802 W Berteau Ave
Chicago, IL 60613-6181
Phone
(708) 202-9121
NPI assigned
Oct 7, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dance Therapist 225600000X 3068 IL Primary

Addresses

Primary practice location

1802 W Berteau Ave
Chicago, IL 60613-6181

Mailing address

1550 N Clark St Apt 1001
Chicago, IL 60610-3612
Phone (248) 565-7500

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

LicenseStateTypeSpecialty
3068ILMDDance Therapist

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1215802509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N CLARK ST APT 1001",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103612",
            "telephone_number": "248-565-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 W BERTEAU AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606136181",
            "telephone_number": "708-202-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNACCHINI",
        "first_name": "RILEY",
        "middle_name": "KATHLEEN",
        "credential": "R-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "IL",
            "license": "3068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.