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

Shannon Cornell, PTA

Individual provider Physical Therapy Assistant · NPI 1164008520

Shannon Cornell, PTA is a Physical Therapy Assistant in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

6525 2nd Ave
Detroit, MI 48202-3006
Phone: (313) 972-4060
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (MI)

Record details

NPI number1164008520
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021
Mailing address6525 2nd Ave, Detroit, MI 48202-3006

Other providers in Detroit