Individual provider Active NPI

Michael George Cornea-Hasegan, DPT

  • Physical Therapist
  • Savannah, GA
National Provider Identifier
1497424188
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018368 Issued in GA
Practice address
1800 E Victory Dr Ste 4a
Savannah, GA 31404-4195
Phone
(912) 236-7020
NPI assigned
Sep 7, 2021
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT210002508 DC
Physical Therapist 225100000X CP053690T GA
Physical Therapist 225100000X 181171 AK
Physical Therapist 225100000X PT018368 GA Primary

Addresses

Primary practice location

1800 E Victory Dr Ste 4a
Savannah, GA 31404-4195

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-8995

Other practice location 1

3455 Rewak Dr Ste 106
Fairbanks, AK 99709-5024
Phone (907) 457-5322

Other practice location 2

22 W Oglethorpe Ave
Savannah, GA 31401-3702
Phone (912) 443-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211103001616 AK Practitioner - Physical Therapist in Private Practice 0941698344 Reassigns benefits to 1 organization
I20250219000489 DC Practitioner - Physical Therapist in Private Practice 0941698344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

600 Pennsylvania Ave SE
Novacare Rehabilitation 50569 Suite 202
Washington, DC 20003-4316
Phone (202) 543-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT210002508DCMDPhysical Therapist
CP053690TGAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Sep 1, 2021 Accepting new patients
Physiotherapy Associates Inc Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Jan 6, 2025 Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Effingham Rehab Services, Inc Past Accepting new patients
Effingham Rehab Services, LLC Physical Therapist Past Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients

Locations

3455 Rewak Dr
Ste 106
Fairbanks, AK 99709
Phone (907) 457-5322

600 Pennsylvania Ave SE
Ste 202
Washington, DC 20003
Phone (202) 543-9400

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1497424188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E VICTORY DR STE 4A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314044195",
            "telephone_number": "912-236-7020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Rewak Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997095024",
            "country_code": "US",
            "telephone_number": "907-457-5322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 W Oglethorpe Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314013702",
            "country_code": "US",
            "telephone_number": "912-443-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNEA-HASEGAN",
        "first_name": "MICHAEL",
        "middle_name": "GEORGE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT210002508",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP053690T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "181171",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT018368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.