MRS. STACEY LYNN CORNELIUS MPT
NPI 1053578765
Physical Therapist in Salisbury, MD

Active since May 20, 2008
1109 S SCHUMAKER DR, SALISBURY, MD 21804(410) 546-3492(410) 546-3492 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Stacey Lynn Cornelius Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACEY LYNN CORNELIUS MPT (NPI 1053578765) is an individual physical therapist in Salisbury, Maryland, licensed in Maryland (20524) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1053578765
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. STACEY LYNN CORNELIUSCredential: MPT
Location Address1109 S SCHUMAKER DRSalisbury, MD 21804-9256
Mailing Address1109 S Schumaker DrSalisbury, MD 21804-9256 · (410) 546-3492 · Fax (410) 546-3492
Fax(410) 546-3492
Sole ProprietorNo
Enumeration DateMay 20, 2008
✔ NPI 1053578765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MD · 20524
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1109 S SCHUMAKER DR, Salisbury, MD 21804

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stacey Lynn Cornelius Mpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Stacey Cornelius reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
11204 RACETRACK RD, SUITE 101
Berlin, MD 21811
  • Reassigned Medicare billing, Maryland enrollment
  • 18 clinicians in this Medicare group
Physical Therapy
11810 MAN O WAR LN
Berlin, MD 21811
  • Reassigned Medicare billing, Maryland enrollment
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
1109 S SCHUMAKER DR
SALISBURY, MD 21804
Clinic/Center (Rehabilitation)
1109 S SCHUMAKER DR, C/O LAKESIDE AT MALLARD LANDING
SALISBURY, MD 21804
Physical Therapy Assistant
1109 S SCHUMAKER DR
SALISBURY, MD 21804
Physical Therapy Assistant
1109 S SCHUMAKER DR
SALISBURY, MD 21804
Clinic/Center (Rehabilitation)
1109 S SCHUMAKER DR
SALISBURY, MD 21804
Assisted Living Facility
1109 S SCHUMAKER DR
SALISBURY, MD 21804
Speech-Language Pathologist
1109 S SCHUMAKER DR
SALISBURY, MD 21804
Physical Therapist
1109 S SCHUMAKER DR
SALISBURY, MD 21804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Cornelius's NPI number?

The NPI number for Stacey Cornelius is 1053578765. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Stacey Cornelius located?

Stacey Cornelius practices at 1109 S Schumaker Dr, Salisbury, MD 21804. The listed phone number is (410) 546-3492.

What is Stacey Cornelius's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Stacey Cornelius enrolled in Medicare?

Yes. Stacey Cornelius is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacey Cornelius's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Cornelius reassigns Medicare benefits to 2 organizations: Aquaworx (Berlin, MD) and Shore Therapy Solutions, LLC (Berlin, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Cornelius's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacey Cornelius was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.