Active NPI
Julianne Kristine Cornell, DPT
- Physical Therapist
- Baker City, OR
National Provider Identifier
1437898012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 64535
- Practice address
- 3325 Pocahontas Rd
Baker City, OR 97814-1464 - Phone
- (541) 524-7720
- NPI assigned
- Jun 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 64535 | OR | Primary |
Addresses
Primary practice location
3325 Pocahontas Rd
Baker City, OR 97814-1464
Mailing address
3325 Pocahontas Rd
Baker City, OR 97814-1464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64535 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1437898012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 POCAHONTAS RD",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 POCAHONTAS RD",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141464",
"telephone_number": "541-524-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELL",
"first_name": "JULIANNE",
"middle_name": "KRISTINE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "64535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.