Individual provider Active NPI

Nathan Cornell

  • Physical Therapist
  • Tigard, OR
National Provider Identifier
1265108674
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7800 SW Durham Rd Ste 500
Tigard, OR 97224-7578
Phone
(503) 937-0090
Fax
(503) 372-5191
NPI assigned
Aug 17, 2021
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X OR Primary
Orthopedic Physical Therapist 2251X0800X NU

Addresses

Primary practice location

7800 SW Durham Rd Ste 500
Tigard, OR 97224-7578

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

1528 Plumas Ct
Yuba City, CA 95991-2972
Phone (530) 434-6256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241024002019 CA Practitioner - Physical Therapist in Private Practice 6103359575 Reassigns benefits to 2 organizations
I20250815002096 OR Practitioner - Physical Therapist in Private Practice 6103359575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians
Erhardt Physical Therapy and Sports Medicine LLCGroup PAC ID 1153214739, 58 clinicians

Practice addresses (Care Compare)

7050 Broadway
Lemon Grove, CA 91945-1406
Phone (619) 745-5932

7800 SW Durham Rd
Suite 500
Tigard, OR 97224-7578
Phone (503) 937-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adi Rehab, Incorporated Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
Dimond Physical Therapy and Performance Lab, LLC Physical Therapist CurrentSince Aug 3, 2025 Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Aug 4, 2025 Accepting new patients
Rehab Specialists, Inc Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients
Bay Area Spine & Sport, Inc Physical Therapist PastSince Oct 3, 2012 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

7050 Broadway
Lemon Grove, CA 91945
Phone (619) 745-5932

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

2730 Wilshire Blvd
Ste 533
Santa Monica, CA 90403
Phone (310) 273-0870

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143

5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

7800 SW Durham Rd
Ste 500
Tigard, OR 97224
Phone (503) 937-0090

Organizations & group practices 7

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1265108674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW DURHAM RD STE 500",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247578",
            "telephone_number": "503-937-0090",
            "fax_number": "503-372-5191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 Plumas Ct",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959912972",
            "country_code": "US",
            "telephone_number": "530-434-6256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.