Jonathan Cordero

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

298232 Issued in CA

Practice address

22 Moon Walk
Tonawanda, NY 14150-2786

Phone

(716) 908-7907

NPI assigned

Jun 15, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1306376991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHERRYWOOD DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MOON WALK",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141502786",
            "telephone_number": "716-908-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007095",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "298232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Coleman, RN
• Dawn Colosimo
• Thomas Edison Comerford IV, DO
• Complete Homecare, Inc.
• Michael Lesley Constantine
• Barbara Ruth Costantino, RN
• Marijane Cotroneo, WHNP
• Council Opticians of Tonawanda Inc
• Lauren Ashley Crance
• Amy Jo Crans-Stafford, PHD

• Physical Therapy Clinic/Center in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.