COURTNEY CORNWALL
NPI 1306596457
Occupational Therapist in Port Huron, MI

Active since March 23, 2022Accepts Medicare Assignment
3111 ELECTRIC AVE, PORT HURON, MI 48060(810) 985-8900 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Courtney Cornwall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY CORNWALL (NPI 1306596457) is an individual occupational therapist in Port Huron, Michigan and active in the NPI registry since March 2022. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1306596457
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameCOURTNEY CORNWALL
Location Address3111 ELECTRIC AVEPort Huron, MI 48060-8127
Mailing Address3111 Electric AvePort Huron, MI 48060-8127
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
NPI 1306596457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
3111 ELECTRIC AVE, Port Huron, MI 48060

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Courtney Cornwall is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406222959
PECOS Enrollment IDI20221025001040

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
3111 ELECTRIC AVE
PORT HURON, MI 48060
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
Peer Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
Technician/Technologist
3111 ELECTRIC AVE
PORT HURON, MI 48060
Case Manager/Care Coordinator
3111 ELECTRIC AVE
PORT HURON, MI 48060
Social Worker (Clinical)
3111 ELECTRIC AVE
PORT HURON, MI 48060
Peer Specialist
3111 ELECTRIC AVE
PORT HURON, MI 48060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Cornwall's NPI number?

The NPI number for Courtney Cornwall is 1306596457. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Courtney Cornwall located?

Courtney Cornwall practices at 3111 Electric Ave, Port Huron, MI 48060. The listed phone number is (810) 985-8900.

What is Courtney Cornwall's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Courtney Cornwall enrolled in Medicare?

Yes. Courtney Cornwall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Courtney Cornwall was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.