Individual provider Active NPI

Kathleen Savage Cornett, PT

  • Physical Therapist
  • Bristol, TN
National Provider Identifier
1821272915
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1963 Issued in TN
Practice address
1241 Volunteer Pkwy
Suite 440
Bristol, TN 37620-4659
Phone
(423) 789-2010
Fax
(888) 734-2212
NPI assigned
Dec 26, 2007
Last updated
Dec 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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 1963 TN Primary
Physical Therapist 225100000X 2305002275 VA

Addresses

Primary practice location

1241 Volunteer Pkwy
Suite 440
Bristol, TN 37620-4659

Mailing address

1241 Volunteer Pkwy
Suite 440
Bristol, TN 37620-4659
Phone (423) 789-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305002275VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santera Rehabilitation, Inc Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1821272915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 VOLUNTEER PKWY",
            "address_2": "SUITE 440",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204659",
            "telephone_number": "423-789-2010",
            "fax_number": "888-734-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 VOLUNTEER PKWY",
            "address_2": "SUITE 440",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204659",
            "telephone_number": "423-789-2010",
            "fax_number": "888-734-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "KATHLEEN",
        "middle_name": "SAVAGE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "1963",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.