Dwight Jesse Cornish

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7254 Issued in CA

Legal business name

DWIGHT JESSE CORNISH

Practice address

74824 Lennon PL
Palm Desert, CA 92260-1901

Phone

(760) 568-9811

NPI assigned

Mar 24, 2007

Organization subpart

No

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

Authorized official

Name

Dwight Cornish, PTNPI 1811997398

Title

Director

Phone

(760) 568-9811

Specialties & licenses 1

Addresses

Other names 1

• AQUATIC PHYSICAL THERAPY OF PALM DESERT Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dwight J Cornish, PT

  • Physical Therapist
  • Palm Desert, CA
  • NPI 1811997398
  NPD (past) Authorized official

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1801913736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13888",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922553888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74824 LENNON PL",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601901",
            "telephone_number": "760-568-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT JESSE CORNISH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "CORNISH",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-568-9811",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "7254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AQUATIC PHYSICAL THERAPY OF PALM DESERT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberley Ann Dubeau, LMFT
• Sianna Nathasia Duenas
• Miranda Duncan, LCSW
• Dung Q Le MD a Professional Corporation
• Jon Howard Dunn, ND
• Ryan Dianna Dyberg
• Dynamic Physical Therapy and Sports Performance, Inc
• Miracle Monique Earl
• Evelyn Martha Eastman, M.A.
• Easy Speech Pathology, Inc.

• Physical Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.