Kendra B Cornelius, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295145 Issued in CA

Practice address

31271 Niguel Rd Ste J
Laguna Niguel, CA 92677-4135

Phone

(949) 443-5442

Fax

(949) 443-5463

NPI assigned

Sep 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kendra B Breunling Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grace Physical Therapy, Inc. 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grace Physical Therapy, Inc.

  • Specialist
  • Laguna Niguel, CA
  • NPI 1386668739

  CA

  Medicare reassignment Care Compare group NPD
• Deborah Weinstein Physical Therapy

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1881961258
  NPD

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1831671189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7840",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926077840",
            "telephone_number": "949-443-5442",
            "fax_number": "949-443-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31271 NIGUEL RD STE J",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774135",
            "telephone_number": "949-443-5442",
            "fax_number": "949-443-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "KENDRA",
        "middle_name": "B",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "BREUNLING",
            "middle_name": "B",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl Ann Comeau, D.C.
• Comprehensive Neurological Sciences Inc
• Helen Condas, LCSW
• Connection Therapy Clinic Inc
• Jade Copenhaver, BCBA
• Jazmine Corona, BA
• Paul Daniel Corona, M.D.
• Alexandra Corwin
• Costco Wholesale Corporation
• Costco Wholesale Corporation

• All providers in Laguna Niguel, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.