Allison Kornoelje, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013489 Issued in MI

Practice address

3152 Peregrine Dr NE Ste 115
Grand Rapids, MI 49525-9723

Phone

(616) 643-0833

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1396311270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10336 SENTRY RD",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494642095",
            "telephone_number": "616-405-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 PEREGRINE DR NE STE 115",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259723",
            "telephone_number": "616-643-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNOELJE",
        "first_name": "ALLISON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carleen Anna Kormos, LLMSW
• Amy Korn, PT
• Marc Alexander Korn, MD
• Makinni Marie Kornak-Kotarba
• Clinton Edward Korneffel, DO
• Edwin T Kornoelje, D.O.
• Robb Kornoelje, LPC
• Joshua Kornoely, ATC
• Stephen Kornoely, LMSW
• Jennifer Kornowski, M.S.P.T., M.D.T.

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.