John Scott Cornelissen, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9279 Issued in TN

Practice address

8 City Boulevard
Suite 200
Nashville, TN 37209

Phone

(615) 329-6600

Fax

(615) 329-4858

NPI assigned

May 21, 2007

Last updated

Oct 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: john.cornelissen.p1@direct.toa.nextgenshare.com
• Direct secure messaging: john.cornelissen.p2@direct.toa.nextgenshare.com
• Direct secure messaging: john.cornelissen.p3@direct.toa.nextgenshare.com

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1710196639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "615-329-2294",
            "fax_number": "615-695-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CITY BOULEVARD",
            "address_2": "SUITE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37209",
            "telephone_number": "615-329-6600",
            "fax_number": "615-329-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELISSEN",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Corn, MD
• William Chase Corn, MD
• Cornea Consultants of Nashville, PLLC
• Ivy Ann Cornelison, MS
• Logan Cornelison, LCSW
• Donna E Cornelius, CRNA
• Adrianna Sarah Cornell, AUD
• Erika Cornell, MD
• Robert F Cornell, M.D.
• Shawna Cornell, RN

• Physical Therapist in Nashville, TN
• Providers in Nashville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.