Meagan Cornely

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007053 Issued in KY

Practice address

7940 Destiny Blvd
Fort Campbell, KY 42223

Phone

(931) 401-8830

NPI assigned

Aug 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopedics Plus Physical Therapy

  • Clinical Electrophysiology Physical Therapist
  • Russellville, KY
  • NPI 1033150438
  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1497236905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 SHIVAS RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370428610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 DESTINY BLVD",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "42223",
            "telephone_number": "931-401-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELY",
        "first_name": "MEAGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007053",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "007053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Todd Cooney
• Michelle Corcione, MCD, CCC-SLP
• James Robert Corcoran, DDS
• Lisa Renee Cordell, RN
• Paul Roger Cordts, M.D.
• Danielle Cory, DDS
• Sara Tenille Cottrell, AGNP-C
• Robert Burroughs Coutant, M.D.
• Emily M Covais, PSYD
• Christopher Cowan, MD

• Physical Therapist in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.