Kenna Cornelson

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6020 NW 120TH CT
Oklahoma City, OK 73162-1729

Phone

(405) 455-8668

NPI assigned

Nov 20, 2018

Last updated

Mar 17, 2023By the provider in NPPES

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

Other names 1

• Kenna Fox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornelson Physical Therapy

  • Physical Therapist
  • Oklahoma City, OK
  • NPI 1831716968
  Authorized official Same address or phone

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1437628393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12104 DORNICK DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731626905",
            "telephone_number": "405-618-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 NW 120TH CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621729",
            "telephone_number": "405-455-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELSON",
        "first_name": "KENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNA",
            "last_name": "FOX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ralph Glenn Cornelius, DNP, APRN-CNP, FNP-C
• Richard Cornelius Jr.
• Shari Dee Cornelius, RN
• Jessica Cornell
• Cornelson Physical Therapy
• Courtney Corner, MSMFT
• Cornerstone Counseling & Consulting, Inc.
• Cornerstone Home Health Services
• Cornerstone Living Solutions LLC
• Bruce D Cornett, DO

• Physical Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.