NPIMap

Organization Active NPI

Cornerstone Therapy Center & Preschool, LLC

  • Early Intervention Provider Agency
  • South Riding, VA
National Provider Identifier
1134387145
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
2202003982 Issued in VA
Legal business name
CORNERSTONE THERAPY CENTER & PRESCHOOL, LLC
Practice address
43453 Parish St
South Riding, VA 20152-2522
Phone
(703) 327-5323
Fax
(703) 327-5323
NPI assigned
May 27, 2008
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Jenifer Mary Shockley, M.A., CCC-SLP, LNPI 1326326299
Title
Speech-Language Pathologist
Phone
(703) 327-5323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 2202003982 VA Primary

Addresses

Primary practice location

43453 Parish St
South Riding, VA 20152-2522

Mailing address

43453 Parish St
South Riding, VA 20152-2522
Phone (703) 327-5323

Other names 1

  • South Riding Speech Therapy, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1134387145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43453 PARISH ST",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201522522",
            "telephone_number": "703-327-5323",
            "fax_number": "703-327-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43453 PARISH ST",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201522522",
            "telephone_number": "703-327-5323",
            "fax_number": "703-327-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE THERAPY CENTER & PRESCHOOL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "703-327-5323",
        "authorized_official_credential": "M.A., CCC-SLP, L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "VA",
            "license": "2202003982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Riding Speech Therapy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in South Riding, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.