Individual provider Active NPI

Michael Francis Cornish, MSPT

  • Physical Therapist
  • Clearwater, FL
National Provider Identifier
1740230341
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19198 Issued in FL
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

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
014745200MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051205000250 FL Practitioner - Physical Therapist in Private Practice 7012937766 Reassigns benefits to 2 organizations

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
West Coast Therapy Solutions LLCGroup PAC ID 0547749434, 15 clinicians
West Coast Therapy Specialist LLCGroup PAC ID 0648549618, 12 clinicians

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

OrganizationSpecialtyStatusNew patients
West Coast Therapy Specialist LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Cornish Therapeutic Care Inc Physical Therapist PastSince May 4, 2005 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.

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.

Verify at the official NPI Registry.