Stacie Michelle Gehron Cornwell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013217 Issued in OH

Practice address

830 Falls Creek Dr
Vandalia, OH 45377-8600

Phone

(937) 890-9235

Fax

(937) 890-9239

NPI assigned

Jun 6, 2011

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 OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

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.

• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  OH

  Medicare reassignment Care Compare group NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1366736522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 FALLS CREEK DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453778600",
            "telephone_number": "937-890-9235",
            "fax_number": "937-890-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 FALLS CREEK DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453778600",
            "telephone_number": "937-890-9235",
            "fax_number": "937-890-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHRON CORNWELL",
        "first_name": "STACIE",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT013217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Francisco, APRN-CNP, FNP-C
• Jamie Lee Gable
• David Gabriel, DPT
• Anna Gagaris, CDCA
• Rick W Gebhart, D.O.
• Sheri L Gibson, RN
• Bridget Frances Goldenstein, DO
• Graceworks Enhanced Living (Clear Brooke)
• Gray Ghost Inc
• Greater Dayton Ear, Nose, and Throat, LLC

• Physical Therapist in Vandalia, OH
• Providers in Vandalia, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.