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

Jonathan Nicholas Cornell

Individual provider Occupational Therapy Assistant · NPI 1053829895

Jonathan Nicholas Cornell is an Occupational Therapy Assistant in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

3300 36th St SE
Grand Rapids, MI 49512-2810
Phone: (616) 942-2110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5202008279 (MI)

Record details

NPI number1053829895
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 15, 2018
Last updated in NPPESJanuary 15, 2018
Mailing address3300 36th St Se, Grand Rapids, MI 49512-2810

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