NPIMap

Organization Active NPI

California Sports Physical Therapy Centers, Inc.

Doing business as Cornerstone Physical Therapy

  • Physical Therapist
  • Pittsburg, CA
National Provider Identifier
1124000682
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 26479 Issued in CA
Legal business name
CALIFORNIA SPORTS PHYSICAL THERAPY CENTERS, INC.
Doing business as
Cornerstone Physical Therapy
Practice address
2230 Gladstone Dr
Pittsburg, CA 94565-5121
Phone
(925) 427-5155
Fax
(925) 427-9552
NPI assigned
Nov 18, 2005
Last updated
Jan 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Mr. Jonathan Dockery
Title
Vice President of Revenue Cycle
Phone
(760) 602-4105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT 26479 CA Primary

Addresses

Primary practice location

2230 Gladstone Dr
Pittsburg, CA 94565-5121

Mailing address

2000 Garden Rd
Monterey, CA 93940-5313
Phone (831) 375-1885

Other names 1

  • Cornerstone Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050707001097 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7618956889 Receives reassigned benefits from 63 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monterey, CA; Walnut Creek, CA; Tracy, CA; Stockton, CA; San Ramon, CA; Rocklin, CA; Manteca, CA; Lodi, CA…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
California Rehabilitation and Sports Therapy10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2230 Gladstone Dr
Pittsburg, CA 94565
Phone (925) 427-5155

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1124000682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GARDEN RD",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405313",
            "telephone_number": "831-375-1885",
            "fax_number": "831-375-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 GLADSTONE DR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655121",
            "telephone_number": "925-427-5155",
            "fax_number": "925-427-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SPORTS PHYSICAL THERAPY CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "DOCKERY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF REVENUE CYCLE",
        "authorized_official_telephone_number": "760-602-4105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 26479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.