Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Randy Salvador Cornejo, PT, DPT

Individual provider Physical Therapist · NPI 1811687478

Randy Salvador Cornejo, PT, DPT is a Physical Therapist in Bradenton, Florida. Works from 2 locations. Licensed in Florida and Texas.

Licensed in
FL, TX
In the registry since
2023
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5690 Bollettieri Blvd
Bradenton, FL 34210-2211
Phone: (941) 739-7540
Fax: (941) 752-2626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6930 Harris Pkwy Ste 120, Fort Worth, TX 76132-4272 — (817) 885-0668

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence ME41236 (FL)
Physical Therapist Taxonomy 225100000X · Licence 1375925 (TX)

Record details

NPI number1811687478
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 8, 2023
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

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