Kornerstone Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KORNERSTONE PHYSICAL THERAPY LLC

Practice address

17437 N 71St Dr
Glendale, AZ 85308-8467

Phone

(623) 910-0446

NPI assigned

Nov 14, 2022

Last updated

Nov 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle Kornowski, DRNPI 1558091546

Title

Owner/Physical Therapist

Phone

(623) 910-0446

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Kornowski, PT, DPT

  • Orthopedic Physical Therapist
  • Glendale, AZ
  • NPI 1558091546
  NPD Authorized official

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1942918594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 W JOHN CABOT RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081055",
            "telephone_number": "623-910-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17437 N 71ST DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088467",
            "telephone_number": "623-910-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORNERSTONE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-13",
        "status": "A",
        "authorized_official_last_name": "KORNOWSKI",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "623-910-0446",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Koniar
• Maurisa O Konya, P.A.
• Lee D Koon, MD
• Patricia Kopren
• Lakshmi Koripella, M.D
• Kyle Kornowski, PT, DPT
• Beatrice Kortu
• Dimas Kosa
• Susan Koscak
• Sierra Koskovich, RBT

• Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.