Organization Active NPI

Cornerstone Movement and Performance Institute

  • Chiropractor
  • Birmingham, AL
National Provider Identifier
1316744980
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORNERSTONE MOVEMENT AND PERFORMANCE INSTITUTE
Practice address
3501 1St Avenue South
Ste 102a
Birmingham, AL 35222-3522
Phone
(205) 997-3011
Fax
(205) 997-3053
NPI assigned
Feb 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Daniel Oquinn II, DCNPI 1356971816
Title
Ceo
Phone
(205) 826-5219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3501 1St Avenue South
Ste 102a
Birmingham, AL 35222-3522

Mailing address

4812 Lincrest Dr
Birmingham, AL 35222-4404
Phone (205) 997-3011

Other names 1

  • Live Active: Spine & Sport Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250412000326 AL Part B Supplier - Clinic/Group Practice 5597289470 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

3501 1st Ave S
Ste 102A
Birmingham, AL 35222
Phone (205) 826-5219

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1316744980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 LINCREST DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352224404",
            "telephone_number": "205-997-3011",
            "fax_number": "205-997-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 1ST AVENUE SOUTH",
            "address_2": "STE 102A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352223522",
            "telephone_number": "205-997-3011",
            "fax_number": "205-997-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MOVEMENT AND PERFORMANCE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "OQUINN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-826-5219",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Active: Spine & Sport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Live Active: Spine & Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.