Individual provider Active NPI

Karen Patrice Brown-Cornish, P.T.

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1245508936
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17143 Issued in MD
Practice address
1700 Reisterstown Rd
Suite 214
Baltimore, MD 21208-1416
Phone
(410) 356-4779
Fax
(410) 484-3999
NPI assigned
Dec 8, 2011
Last updated
Jul 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17143 MD Primary

Addresses

Primary practice location

1700 Reisterstown Rd
Suite 214
Baltimore, MD 21208-1416

Mailing address

1700 Reisterstown Rd
Suite 214
Baltimore, MD 21208-1416
Phone (410) 356-4779

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
17143MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center, LLC PastSince Aug 1, 2011 Accepting new patients
Homecentris Community Care, LLC PastSince Sep 1, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1245508936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 REISTERSTOWN RD",
            "address_2": "SUITE 214",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081416",
            "telephone_number": "410-356-4779",
            "fax_number": "410-484-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 REISTERSTOWN RD",
            "address_2": "SUITE 214",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212081416",
            "telephone_number": "410-356-4779",
            "fax_number": "410-484-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-CORNISH",
        "first_name": "KAREN",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.