| Stacie Michelle Gehron Cornwell, DPT | |
|
830 Falls Creek Dr, Vandalia, OH 45377-8600 | |
| (937) 890-9235 | |
| (937) 890-9239 |
| Full Name | Stacie Michelle Gehron Cornwell |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 15 Years |
| Location | 830 Falls Creek Dr, Vandalia, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366736522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT013217 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2054 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20200526001453 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacie Michelle Gehron Cornwell, DPT 830 Falls Creek Dr, Vandalia, OH 45377-8600 Ph: (937) 890-9235 | Stacie Michelle Gehron Cornwell, DPT 830 Falls Creek Dr, Vandalia, OH 45377-8600 Ph: (937) 890-9235 |
Melissa Mitchell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Falls Creek Dr, Vandalia, OH 45377 Phone: 937-890-9235 Fax: 937-890-9239 | |
Carolyn Elizabeth Wise, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Falls Creek Dr, Vandalia, OH 45377 Phone: 937-890-9235 Fax: 937-890-9239 | |
Obsidian Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 W National Rd, Vandalia, OH 45377 Phone: 937-400-1155 | |
Darren Jeffers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 W National Rd Ste B, Vandalia, OH 45377 Phone: 937-280-0047 Fax: 937-200-1128 | |
Michelle Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 205 W National Rd Ste B, Vandalia, OH 45377 Phone: 937-280-0047 Fax: 937-200-1128 | |
Jonathan Sauer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 830 Falls Creek Dr, Vandalia, OH 45377 Phone: 937-890-9235 Fax: 937-890-9239 | |
Benjamin David Ruggles, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 830 Falls Creek Dr, Vandalia, OH 45377 Phone: 937-890-9235 |