Yesenia Cornejo

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

014451 Issued in AZ

Practice address

6960 E Broadway Rd
Mesa, AZ 85208-1916

Phone

(480) 807-9000

Fax

(480) 807-9234

NPI assigned

Feb 18, 2022

Last updated

Feb 18, 2022By the provider in NPPES

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

Electronic endpoints 1

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1356096259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 S VALLE VERDE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121805",
            "telephone_number": "623-293-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852081916",
            "telephone_number": "480-807-9000",
            "fax_number": "480-807-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNEJO",
        "first_name": "YESENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "014451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mesa",
            "affiliation": "N",
            "endpointDescription": "clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clinic",
            "address_1": "6960 E Broadway Rd",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852081916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hali Cork
• Steven Corkill
• David Lee Corl, D.C.
• Chase A Corley, DPM
• Renee Cornejo, COTA
• Laura Jane Cornelisse, MS, CF-SLP
• Cornerstone Integrative Associates, LLC
• Cornerstone Medical Implants, PLC
• Cornerstone Pain Management LLC
• Cornerstone Physical Medicine, LLC

• Physical Therapy Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.