Individual provider Active NPI

Nicholas Gary Cornett, PT

  • Physical Therapist
  • Saint Clairsville, OH
National Provider Identifier
1619030178
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007991 Issued in OH
Practice address
45280 National Rd
Saint Clairsville, OH 43950-8787
Phone
(614) 221-6331
Fax
(614) 221-9042
NPI assigned
Dec 18, 2006
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 07991 OH
Physical Therapist 225100000X PT007991 OH Primary

Addresses

Primary practice location

45280 National Rd
Saint Clairsville, OH 43950-8787

Mailing address

7277 Smiths Mill Rd Ste 200
New Albany, OH 43054-8195
Phone (614) 221-6331

Other practice location 1

7277 Smiths Mill Rd Ste 100
New Albany, OH 43054-8195
Phone (614) 221-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000374 OH Practitioner - Physical Therapist in Private Practice 4981697950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7277 Smiths Mill Rd
New Albany, OH 43054-8195
Phone (614) 221-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07991OHMDClinical Psychologist
PT007991OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine, LTD Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Feb 1, 2022 Accepting new patients
Robinson-Brown and Associates Past Accepting new patients
Vocworks Past Accepting new patients

Locations

20 University Estates Blvd
Unit 100
Athens, OH 45701
Phone (740) 566-4640

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

7277 Smiths Mill Rd
New Albany, OH 43054
Phone (614) 361-7035

7277 Smiths Mill Rd
Ste 100
New Albany, OH 43054
Phone (614) 304-2123

7277 Smiths Mill Rd
Ste 200
New Albany, OH 43054
Phone (614) 220-0398

45280 National Rd
Saint Clairsville, OH 43950
Phone (740) 247-7955

Interoperability endpoints

  • Direct secure messaging: nick.cornett.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1619030178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7277 SMITHS MILL RD STE 200",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548195",
            "telephone_number": "614-221-6331",
            "fax_number": "614-221-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45280 NATIONAL RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439508787",
            "telephone_number": "614-221-6331",
            "fax_number": "614-221-9042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7277 Smiths Mill Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "OH",
            "postal_code": "430548195",
            "country_code": "US",
            "telephone_number": "614-221-6331",
            "fax_number": "614-221-9042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "NICHOLAS",
        "middle_name": "GARY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "07991",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT007991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.