Stacie Michelle Gehron Cornwell, DPT
NPI 1366736522ActiveIndividual· Physical Therapist· Vandalia, OH
Physical Therapist (DPT) with Athletico Ltd, practicing in Vandalia, Ohio. Medicare paid $61,878 for services to 99 patients in 2024.
Overview
| NPI | 1366736522 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Jun 6, 2011 |
| Last updated in NPPES | Jun 6, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT013217 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 99 |
|---|---|
| Services billed | 3,080 across 13 procedure codes |
| Paid by Medicare | $61,878 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Athletico LtdOttawa, IL · 2,200 clinicians
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All 28 physical therapists in Vandalia · All physical therapists in Ohio