Active NPI
Michael Francis Cornish, MSPT
- Physical Therapist
- Clearwater, FL
National Provider Identifier
1740230341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19198
- Practice address
- 1501 N Belcher Rd Ste 166
Clearwater, FL 33765-1339 - Phone
- (727) 251-8903
- Fax
- (727) 216-6999
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT19198 | FL | Primary |
Addresses
Primary practice location
1501 N Belcher Rd Ste 166
Clearwater, FL 33765-1339
Mailing address
493 Lakeside PL
Largo, FL 33771-1429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014745200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4707 140TH Ave N
Suite 302
Clearwater, FL 33762-3840
Phone (727) 223-8978
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Therapy Specialist LLC | Physical Therapist | Current | Accepting new patients |
| Cornish Therapeutic Care Inc | Physical Therapist | Past | Accepting new patients |
Locations
4707 140th Ave N
Ste 313
Clearwater, FL 33762
Phone (727) 223-8978
Organizations & group practices 3
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 Therapist
- Clearwater, FL
- NPI 1578810776
-
- Physical Therapist
- Clearwater, FL
- NPI 1538058904
-
- Physical Therapist
- Largo, FL
- NPI 1063459295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1740230341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "493 LAKESIDE PL",
"city": "LARGO",
"state": "FL",
"postal_code": "337711429",
"fax_number": "727-216-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N BELCHER RD STE 166",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337651339",
"telephone_number": "727-251-8903",
"fax_number": "727-216-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNISH",
"first_name": "MICHAEL",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014745200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.