Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephen Cornelison, PTA

Individual provider Physical Therapy Assistant · NPI 1194944629

Stephen Cornelison, PTA is a Physical Therapy Assistant in Columbia, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1501 Tidewater Dr
Columbia, MO 65202-6425
Phone: (573) 442-9728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2001015505 (MO)

Record details

NPI number1194944629
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 24, 2007
Last updated in NPPESMay 22, 2008

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