Active NPI
Jillian Cornell, PT, DPT
- Physical Therapist
- McKinney, TX
National Provider Identifier
1104570621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1357624
- Practice address
- 5236 W University Dr Ste 3500
McKinney, TX 75071-8122 - Phone
- (469) 952-5043
- NPI assigned
- Feb 4, 2022
- Last updated
- Feb 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1357624 | TX | Primary |
Addresses
Primary practice location
5236 W University Dr Ste 3500
McKinney, TX 75071-8122
Mailing address
713 4TH St
Eddy, TX 76524-2538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1357624 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644105600000",
"number": "1104570621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 4TH ST",
"city": "EDDY",
"state": "TX",
"postal_code": "765242538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5236 W UNIVERSITY DR STE 3500",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750718122",
"telephone_number": "469-952-5043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELL",
"first_name": "JILLIAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-04",
"last_updated": "2022-02-06",
"certification_date": "2022-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1357624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.