J. Cornack Therapy Group LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

J. CORNACK THERAPY GROUP LLC

Practice address

604 Cournthouse Cir
Lititz, PA 17543

Phone

(717) 381-0709

NPI assigned

Mar 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Tom Cornack

Title

Admin

Phone

(717) 381-0709

Specialties & licenses 1

Addresses

Tax ID family

J Cornack Therapy Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• J. Cornack Therapy Group LLC

  • Early Intervention Provider Agency
  • Lititz, PA
  • NPI 1881974483
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Sue Beyer, M.A.,CCC/SLP

  • Speech-Language Pathologist
  • Lititz, PA
  • NPI 1811257470
  NPD (past)

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1508132234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 COURNTHOUSE CIR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "17543",
            "telephone_number": "717-381-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 COURNTHOUSE CIR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "17543",
            "telephone_number": "717-381-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. CORNACK THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "CORNACK",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "717-381-0709",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Hung, DO
• Peter A Hurtubise, DO
• Kimberly Good Ibarra, CRNP
• Katlyn Marie Irwin, PTA
• Mary E Ivy, M.D.
• J. Cornack Therapy Group LLC
• Jacobson Eyecare, Inc.
• William Jay Jacobson, OD
• JDM Therapeutics, LLC (Lititz Acupuncture)
• Emmanuel Jean-Philippe, CORECHI-P, HAITIAN

• Early Intervention Provider Agency in Lititz, PA
• Providers in Lititz, PA by specialty
• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.