Cornell Therapy Associate

Primary specialty

ContractorTaxonomy code 171W00000X

License

2216 Issued in SC

Legal business name

CORNELL THERAPY ASSOCIATE

Practice address

2570 Carriage Dr
Sumter, SC 29154-7111

Phone

(803) 968-4723

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edward Hussey Cornell, OTR

Title

Owner

Phone

(803) 968-4723

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1700901394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 CARRIAGE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291547111",
            "telephone_number": "803-968-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 CARRIAGE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291547111",
            "telephone_number": "803-968-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL THERAPY ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "HUSSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-968-4723",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "SC",
            "license": "2216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elisabeth Copeland, DPT
• Donna Marie Coppinger, LISW-CP
• Tara Lynn Corbett, M.S. LPC
• Ligia Maria Corea, FNP-C
• Virginia M Corley, PH.D.
• Shannon Cornell, NP
• Kim J Cortez, MD
• Michael B Coseo, MS, RD, LD
• Beth Alison Cottone, OTR/L
• Virginia Manning Coulter, PT

• All providers in Sumter, SC
• Contractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.