MR. EDWARD CORNEJO (PT, MPT, CFMT) – Orthopedic Physical Therapist, NPI 1245470319
Orthopedic Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,522 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA
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Provider Addresses for MR. EDWARD CORNEJO (PT, MPT, CFMT)
2589, Fairway Drive, Santa Ana Heights, Costa Mesa, Orange County, California, 92627, United States
COSTA MESA, CA 926271311
Phone: (714) 307-6640
Type: Location
2900 BRISTOL ST STE J108
COSTA MESA, CA 926267919
Phone: (714) 307-6640
Fax: (949) 612-3821
Type: Location
PO BOX 11240
COSTA MESA, CA 926271240
Phone: (714) 307-6640
Type: Mailing
1600 DOVE ST STE 320
NEWPORT BEACH, CA 926602489
Phone: (949) 629-5211
Fax: (949) 785-3191
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-05-31
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130531000097 | I | Physical Therapist In Private Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 373 | 115 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 317 | 151 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 252 | 116 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 249 | 129 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 86 | 81 | $0 |
Insurance plans in this area (ZIP 92627)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | CA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 626 | 114 |
| PHYSICAL THERAPY | CA | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 301 | 97 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| - | CA | |
| Occupational Therapist In Private Practice | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| - | AZ |
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