Organization Active NPI

Cornerstone Rehabilitation of Senatobia Inc

  • Physical Therapist
  • Senatobia, MS
National Provider Identifier
1043246192
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CORNERSTONE REHABILITATION OF SENATOBIA INC
Practice address
214 E Main St
Senatobia, MS 38668-2140
Phone
(662) 560-0602
Fax
(662) 560-0603
NPI assigned
Jun 23, 2006
Last updated
Nov 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Claude S Thompson
Title
Owner
Phone
(662) 473-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

214 E Main St
Senatobia, MS 38668-2140

Mailing address

32 S Main St
Water Valley, MS 38965-2946
Phone (662) 473-3400

Other identifiers 1

IdentifierTypeStateIssuer
09015813MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050817000370 MS Part B Supplier - Clinic/Group Practice 8325078587 Receives reassigned benefits from 11 practitioners
Practice locations: Senatobia, MS

National Provider Directory

National Provider Directory

Locations

102 N Robinson St
Senatobia, MS 38668
Phone (662) 560-0602

214 E Main St
Senatobia, MS 38668
Phone (662) 560-0602

32 S Main St
Water Valley, MS 38965
Phone (662) 816-6866

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1043246192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389652946",
            "telephone_number": "662-473-3400",
            "fax_number": "662-473-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E MAIN ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682140",
            "telephone_number": "662-560-0602",
            "fax_number": "662-560-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE REHABILITATION OF SENATOBIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-473-3400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015813",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Senatobia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.