Organization Active NPI

Cornerstone Pelvic Health and Wellness, PLLC

  • Physical Therapy Clinic/Center
  • Lawrenceburg, KY
National Provider Identifier
1356693816
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
003742 Issued in KY
Legal business name
CORNERSTONE PELVIC HEALTH AND WELLNESS, PLLC
Practice address
1100 Glensboro Rd Ste 7
Lawrenceburg, KY 40342-9084
Phone
(859) 543-0319
Fax
(859) 543-2895
NPI assigned
Oct 9, 2012
Last updated
Aug 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Authorized official

Name
Mrs. Tracey Ann Legrand, P.T.NPI 1679594451
Title
Physical Therapist
Phone
(859) 543-0319

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
Physical Therapy Clinic/Center 261QP2000X 003742 KY Primary

Addresses

Primary practice location

1100 Glensboro Rd Ste 7
Lawrenceburg, KY 40342-9084

Mailing address

1100 Glensboro Rd Ste 7
Lawrenceburg, KY 40342-9084
Phone (859) 543-0319

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151214001321 KY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264733419 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrenceburg, KY

National Provider Directory

National Provider Directory

Locations

1100 Glensboro Rd
Ste 7
Lawrenceburg, KY 40342
Phone (859) 543-0319

1795 Alysheba Way
Ste 5102
Lexington, KY 40509
Phone (859) 543-0319

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": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1356693816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GLENSBORO RD STE 7",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429084",
            "telephone_number": "859-543-0319",
            "fax_number": "859-543-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GLENSBORO RD STE 7",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403429084",
            "telephone_number": "859-543-0319",
            "fax_number": "859-543-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PELVIC HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "LEGRAND",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "859-543-0319",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": "003742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.