Joshua Kornoely, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601000233 Issued in MI

Practice address

428 Bridge St NW
Grand Rapids, MI 49504-5322

Phone

(616) 451-4284

Fax

(616) 451-4811

NPI assigned

Jul 11, 2012

Last updated

Jul 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Health Motion Physical Therapy Services Inc

  • Physical Therapy Clinic/Center
  • Kentwood, MI
  • NPI 1992817316
  NPD (past)

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1619232162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 BRIDGE ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045322",
            "telephone_number": "616-451-4284",
            "fax_number": "616-451-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 BRIDGE ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045322",
            "telephone_number": "616-451-4284",
            "fax_number": "616-451-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNOELY",
        "first_name": "JOSHUA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makinni Marie Kornak-Kotarba
• Clinton Edward Korneffel, DO
• Allison Kornoelje, DPT
• Edwin T Kornoelje, D.O.
• Robb Kornoelje, LPC
• Stephen Kornoely, LMSW
• Jennifer Kornowski, M.S.P.T., M.D.T.
• Marissa Korodan
• Tara Lynn Koronkiewicz, OTR/L
• Edward Korot, M.D.

• Athletic Trainer in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.