Hannah Marie Cornell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

187019 Issued in WI

Practice address

1850 11TH St
Fennimore, WI 53809-1612

Phone

(608) 822-6100

NPI assigned

Nov 21, 2012

Last updated

Nov 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1689918153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 FREMONT ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051747",
            "telephone_number": "608-485-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 11TH ST",
            "city": "FENNIMORE",
            "state": "WI",
            "postal_code": "538091612",
            "telephone_number": "608-822-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "HANNAH",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "187019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Alan Birkett, DC
• Diane L Cavadini, RN
• Cesa #3
• Alicia Cleven, NP
• Amy Cooley, PTA
• McKenzie Croft
• Sharon L Croft, RN
• Divine Rehabilitation and Nursing at Fennimore LLC
• Courtney Draude, M.A.,CCC-SLP
• Fennimore Area Rescue Squad Inc

• Physical Therapy Assistant in Fennimore, WI
• Providers in Fennimore, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.