Organization Active NPI

J. Cornack Therapy Group LLC

  • Early Intervention Provider Agency
  • Lititz, PA
National Provider Identifier
1881974483
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
J. CORNACK THERAPY GROUP LLC
Practice address
604 Courthouse Cir
Lititz, PA 17543-8028
Phone
(813) 956-2027
NPI assigned
Aug 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Mrs. Julianna Cornack, SLP
Title
President
Phone
(813) 956-2027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

604 Courthouse Cir
Lititz, PA 17543-8028

Mailing address

604 Courthouse Cir
Lititz, PA 17543-8028
Phone (813) 956-2027

National Provider Directory

National Provider Directory
Tax ID family
J Cornack Therapy Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1881974483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 COURTHOUSE CIR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175438028",
            "telephone_number": "813-956-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 COURTHOUSE CIR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175438028",
            "telephone_number": "813-956-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. CORNACK THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "CORNACK",
        "authorized_official_first_name": "JULIANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-956-2027",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.