NATHAN CORNELL – Physical Therapist, NPI 1265108674

NATHAN CORNELL is a healthcare provider. based in Yuba city, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for NATHAN CORNELL is 1265108674

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN CORNELL
NPI
1265108674
Phone
(530) 434-6256
Address
1528 Plumas Ct
Enumeration Date
17 August 2021
Last Update Date
30 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5039370090
Graduation Year
2021 (5 years ago)
PAC ID
6103359575
Group Practice PAC ID
1153214739
Professional Enrollment ID
I20250815002096
Address ID
OR972247578TI7800XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:4State licenses:0Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for NATHAN CORNELL

  • 1528 Plumas Ct

    Yuba City, CA 959912972

    Phone: (530) 434-6256

    Type: Location

  • 2001 BUTTERFIELD RD STE 1600

    DOWNERS GROVE, IL 605151211

    Phone:

    Type: Mailing

  • 7800 SW DURHAM RD STE 500

    TIGARD, OR 972247578

    Phone: (503) 937-0090

    Fax: (503) 372-5191

    Type: Location

  • 221 RANDALL DR

    FOLSOM, CA 956304938

    Phone: (916) 628-4018

    Type: Mailing

  • 1528 PLUMAS CT

    YUBA CITY, CA 959912972

    Phone: (530) 434-6256

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241024002019IPhysical Therapist In Private PracticeCATBD
I20250815002096IPhysical Therapist In Private PracticeORTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95991)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153214739View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeIL
-AL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeWA
-IL
Physical Therapist In Private PracticeAP
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

What NPI should I save for NATHAN CORNELL?
Save NPI 1265108674 if you need a stable reference for NATHAN CORNELL.
Is NATHAN CORNELL's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does NATHAN CORNELL list a primary specialty?
If you are matching referrals, note Physical Therapist for NATHAN CORNELL. Clinical services aligned with this taxonomy classification.
What location metadata exists for NATHAN CORNELL?
The page summarizes Yuba City, California for NATHAN CORNELL; expand the address list for detail.
Is NATHAN CORNELL a real provider?
This page reflects official NPPES data for NPI 1265108674. Always confirm identity and privileges with the practice and licensing boards.

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