Liza Jovellano Cornelio, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 2301 Issued in AR

Practice address

3998 Highway 1 N
Forrest City, AR 72335-7637

Phone

(870) 633-2120

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adrian Cornelio, P.a.

  • Physical Therapist
  • Brinkley, AR
  • NPI 1225278633
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1205046042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 CHARLESTON DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049160",
            "telephone_number": "870-933-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 HIGHWAY 1 N",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723357637",
            "telephone_number": "870-633-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIO",
        "first_name": "LIZA",
        "middle_name": "JOVELLANO",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 2301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138340721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bessie Collins
• Ellis Morgan Collins Jr., M.D.
• George Conner III, MD
• Amy Cook, RN
• Schelly Corley, RN
• David M Coss, M.D.
• Diane Cottrell
• Counseling Consultants, Inc
• Counseling Consultants, Inc
• Counseling Services of Eastern Arkansas

• Physical Therapist in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.