Organization Active NPI

Cornerstone Physical Therapy Associates, LLC

  • Physical Therapist
  • Bensalem, PA
National Provider Identifier
1528038809
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CORNERSTONE PHYSICAL THERAPY ASSOCIATES, LLC
Practice address
1 Woodhaven Mall
Suite 203
Bensalem, PA 19020-5607
Phone
(215) 633-9080
Fax
(215) 633-9950
NPI assigned
Jan 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Andrea Price, PTNPI 1619959020
Title
Partner
Phone
(215) 633-9080

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1 Woodhaven Mall
Suite 203
Bensalem, PA 19020-5607

Mailing address

1 Woodhaven Mall
Suite 203
Bensalem, PA 19020-5607
Phone (215) 633-9080

Other identifiers 2

IdentifierTypeStateIssuer
CH8924OtherPATRAVELERS MEDICARE
789312OtherHIGHMARK BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050315000399 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648244640 Receives reassigned benefits from 9 practitioners
Practice locations: Bensalem, PA; Furlong, PA

National Provider Directory

National Provider Directory

Locations

1 Woodhaven Mall
Ste 203
Bensalem, PA 19020
Phone (215) 633-9080

1338 Bristol Pike
Ste 203
Bensalem, PA 19020
Phone (215) 633-9080

740 Edison Furlong Rd
Furlong, PA 18925
Phone (215) 794-2611

11088 Knights Rd
Philadelphia, PA 19154
Phone (215) 633-9080

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1528038809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WOODHAVEN MALL",
            "address_2": "SUITE 203",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205607",
            "telephone_number": "215-633-9080",
            "fax_number": "215-633-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WOODHAVEN MALL",
            "address_2": "SUITE 203",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205607",
            "telephone_number": "215-633-9080",
            "fax_number": "215-633-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHYSICAL THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "215-633-9080",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CH8924",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "789312",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.