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
Mailing address1501 Tidewater Dr, Columbia, MO 65202-6425

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