Organization Active NPI

Cornerstone Sport & Spine Center

  • Physical Therapist
  • Tupelo, MS
National Provider Identifier
1487051702
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1149 Issued in MS
Legal business name
CORNERSTONE SPORT & SPINE CENTER
Practice address
3008 Highway 178
Tupelo, MS 38804-8306
Phone
(662) 841-5186
Fax
(662) 841-2667
NPI assigned
Dec 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Mrs. Lynda Gail Hester, PT
Title
Owner
Phone
(662) 841-5186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT1149 MS Primary

Addresses

Primary practice location

3008 Highway 178
Tupelo, MS 38804-8306

Mailing address

PO Box 3065
Tupelo, MS 38803-3065
Phone (662) 841-5186

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1487051702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3065",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033065",
            "telephone_number": "662-841-5186",
            "fax_number": "662-841-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 HIGHWAY 178",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388048306",
            "telephone_number": "662-841-5186",
            "fax_number": "662-841-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE SPORT & SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-841-5186",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.