Active NPI
Ionel Cornea, PT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1538489794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2483
- Practice address
- 4113 Freel Peak CT
Las Vegas, NV 89129-3675 - Phone
- (702) 354-3573
- NPI assigned
- Jun 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8125 | AZ | |
| Physical Therapist | 225100000X | 2483 | NV | Primary |
Addresses
Primary practice location
4113 Freel Peak CT
Las Vegas, NV 89129-3675
Mailing address
4113 Freel Peak CT
Las Vegas, NV 89129-3675
Phone (702) 354-3573
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8125 | AZ | MD | Chiropractor |
| 2483 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Medical Professionals LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Disabilities Residential Treatment Facility
- Las Vegas, NV
- NPI 1912259268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1538489794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4113 FREEL PEAK CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891293675",
"telephone_number": "702-354-3573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4113 FREEL PEAK CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891293675",
"telephone_number": "702-354-3573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNEA",
"first_name": "IONEL",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-10",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8125",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.