Kenzie Kay Cornier, BS, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2141976 Issued in TX

Practice address

1514 N Zaragoza Rd Ste B4
El Paso, TX 79936-8041

Phone

(915) 257-5782

NPI assigned

Aug 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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.

• Early Bird Pediatric Therapy Clinic, Inc

  • Rehabilitation Clinic/Center
  • El Paso, TX
  • NPI 1639538077
  NPD (past)

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

{
    "created_epoch": "1534636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1336629328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 GEORGE DIETER DR APT 1022",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367673",
            "telephone_number": "574-601-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 N ZARAGOZA RD STE B4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368041",
            "telephone_number": "915-257-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNIER",
        "first_name": "KENZIE",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "BS, PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-19",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "21419",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2141976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2141926",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ailbhe T Cormack-Aboud, S.L.P.
• George Robert Cornali, D.C.
• Bernard Cornejo, PT
• Barry W. Cornell, D.O.
• Cornerstone Pediatrics Night Clinic
• Evan Donald Corning, MD
• Christina Corona, PHARM.D.
• Jazmyne Corona
• Mariana Corona
• Alejandra Estefania Coronado

• Physical Therapy Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; 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.