Active NPI
Faith Cornmesser
- Physical Therapist
- Justin, TX
National Provider Identifier
1093520660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1404292
- Practice address
- 15080 FM 156 Ste B
Justin, TX 76247-7924 - Phone
- (940) 242-6641
- NPI assigned
- Feb 11, 2025
- Last updated
- Feb 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1404292 | TX | Primary |
Addresses
Primary practice location
15080 FM 156 Ste B
Justin, TX 76247-7924
Mailing address
480 County Road 1230
Detroit, TX 75436-5148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1404292 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Squyres Investments LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Justin Family Chiropractic & Rehab
- Chiropractor
- Justin, TX
- NPI 1639463128
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1093520660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 COUNTY ROAD 1230",
"city": "DETROIT",
"state": "TX",
"postal_code": "754365148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15080 FM 156 STE B",
"city": "JUSTIN",
"state": "TX",
"postal_code": "762477924",
"telephone_number": "940-242-6641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNMESSER",
"first_name": "FAITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-11",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1404292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Justin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.