Cornerstone Chiropractic & Rehabilitation, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR 1311 Issued in ME

Legal business name

CORNERSTONE CHIROPRACTIC & REHABILITATION, PA

Practice address

49 Dartmouth St
Suite a
Portland, ME 04101-1700

Phone

(207) 828-8777

Fax

(207) 828-8778

NPI assigned

Jan 31, 2007

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Garrett R Lewellen, D.C.NPI 1255431755

Title

President, Owner

Phone

(207) 828-8777

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 4

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.

• Garrett Russell Lewellen, D.C.

  • Chiropractor
  • Portland, ME
  • NPI 1255431755
  Medicare reassignment NPD Authorized official
• Amy Mooney Lewellen, D.C.

  • Chiropractor
  • Portland, ME
  • NPI 1003993627
  Medicare reassignment NPD
• Robert Liguori

  • Chiropractor
  • Portland, ME
  • NPI 1013249473
  NPD (past)
• Linford J Stillson, D.O.

  • Internal Medicine Physician
  • Westbrook, ME
  • NPI 1710059902
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1386781235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COVE ST",
            "address_2": "SUITE 101",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012514",
            "telephone_number": "207-828-8777",
            "fax_number": "207-828-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 DARTMOUTH ST",
            "address_2": "SUITE A",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011700",
            "telephone_number": "207-828-8777",
            "fax_number": "207-828-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CHIROPRACTIC & REHABILITATION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LEWELLEN",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "207-828-8777",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR 1311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "022072",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "351404",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1092630",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8546678",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Corica, PHARMD
• Amy Lynn Cormier
• Diane H. Cormier, F.N.P.
• Joshua Eric Cormier, PA
• Cornerbrook Plaza Eye Care P a (Portland Eyecare)
• Kendra A. Cornwall, DO
• Mary-Lynn Corradi, LCPC
• Elisabeth R Corrales, LCSW
• Mary E Corrigan, PNP
• Laren Corrin

• Chiropractor in Portland, ME
• Providers in Portland, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.