Stacey Lynn Cornelius, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20524 Issued in MD

Practice address

1109 S Schumaker Dr
Salisbury, MD 21804-9256

Phone

(410) 546-3492

Fax

(410) 546-3492

NPI assigned

May 20, 2008

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

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aquaworx

  • Physical Therapist
  • Berlin, MD
  • NPI 1912204983
  Medicare reassignment NPD
• Shore Therapy Solutions, LLC

  • Physical Therapy Clinic/Center
  • Berlin, MD
  • NPI 1649932104

  Physical Therapist

  Medicare reassignment NPD
• Post Acute Physician Partners, LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1710385554
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1053578765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 S SCHUMAKER DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218049256",
            "telephone_number": "410-546-3492",
            "fax_number": "410-546-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 S SCHUMAKER DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218049256",
            "telephone_number": "410-546-3492",
            "fax_number": "410-546-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Banks Corbin, LCSW-C
• Robert J Corcoran, M.D.
• Core Clinical Care
• Corelife of Delmarva LLC
• Erica Leeann Corey, LCPC
• Sarah E Corner, CRNA
• Tonya Cornish, RN
• Veronica Correa, LCSW-C
• Janice M Cortis, OTR
• Mark J Cotter, PAC

• Physical Therapist in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.