Kristine N Corn, P.T., M.S.P.T.D.P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT 684 Issued in CA

Practice address

8485 Barton Rd
Granite Bay, CA 95746-9356

Phone

(916) 791-2747

Fax

(916) 791-2189

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sierra Pediatric Therapy Clinic

  • Pediatric Physical Therapist
  • Roseville, CA
  • NPI 1639579758
  NPD (past) Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275671398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8485 BARTON RD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469356",
            "telephone_number": "916-791-2747",
            "fax_number": "916-791-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8485 BARTON RD",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469356",
            "telephone_number": "916-791-2747",
            "fax_number": "916-791-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORN",
        "first_name": "KRISTINE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "P.T., M.S.P.T.D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT 684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Combs
• Emmalee Compton
• Janet Christine Cookson, DPT
• Joseph Cooperman, D.C.
• Cresencia Corey
• Antonia Marie Gavino Corpuz
• Yazmin Cortes Gonzalez
• Alexandra Coss
• Emalee D Costa
• Thomas Spencer Cowles, PA-C

• Physical Medicine & Rehabilitation Physician in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.