IndividualActive
Stephen Cornelison, PTA
NPI 1194944629 · Physical Therapy Assistant · Columbia, MO
Provider details
- NPI number
- 1194944629
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2001015505 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1501 Tidewater Dr
Columbia, MO 65202-6425
Phone: (573) 442-9728
Street-level locationGet directions
Mailing address
1501 Tidewater Dr
Columbia, MO 65202-6425
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2008-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.