Shelby Cornell-Price, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1317502 Issued in TX

Practice address

2269 Northwest Loop
Stephenville, TX 76401-1701

Phone

(254) 965-2040

Fax

(254) 965-7394

NPI assigned

May 1, 2019

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

Other names 1

• Shelby Carter Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephenville Sports Rehab and Physical Therapy LLCGroup PAC ID 8123295706, 21 clinicians

DPT Physical Therapy and PerformanceGroup PAC ID 8729466552, 14 clinicians

Practice addresses (Care Compare)

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.

• DPT Physical Therapy & Performance

  • Physical Therapist
  • Stephenville, TX
  • NPI 1013662956
  Medicare reassignment Care Compare group NPD
• Stephenville Sports Rehab & Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Weatherford, TX
  • NPI 1932291697

  Physical Therapist, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1760046155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 NORTHWEST LOOP",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 NORTHWEST LOOP",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011701",
            "telephone_number": "254-965-2040",
            "fax_number": "254-965-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL-PRICE",
        "first_name": "SHELBY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1317502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "CARTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Lisa Cooper, FNP-C
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• Peter Corta, P.A.
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• Countryside Therapy Group Home Health, LLC
• Countryside Therapy Group, Inc

• Physical Therapist in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.