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

Mary Susan Pernell, LPTA

Individual provider Physical Therapy Assistant · NPI 1861743817

Mary Susan Pernell, LPTA is a Physical Therapy Assistant in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012

Practice location Address checks out

2011 Corona Rd Ste 301
Columbia, MO 65203-2548
Phone: (314) 543-3861
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 116138 (MO)

Record details

NPI number1861743817
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorNo
NPI enumeratedSeptember 29, 2012
Last updated in NPPESSeptember 29, 2012

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