NPIMap

Organization Active NPI

Cameron Therapies, LLC

Doing business as Cornerstone Therapies

  • Speech-Language Pathologist
  • Clovis, NM
National Provider Identifier
1558772541
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5169 Issued in NM
Legal business name
CAMERON THERAPIES, LLC
Doing business as
Cornerstone Therapies
Practice address
809 Parkland Dr
Clovis, NM 88101-4474
Phone
(806) 928-2436
NPI assigned
May 13, 2014
Last updated
May 13, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CAMERON THERAPIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Mr. Russell W Cameron, MPT
Title
Owner/Secretary
Phone
(806) 928-2436

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 3292 NM
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 1525 NM
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 5169 NM Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 5171 NM

Addresses

Primary practice location

809 Parkland Dr
Clovis, NM 88101-4474

Mailing address

501 Monticello Parkway Dr
Portales, NM 88130-8200
Phone (806) 928-2436

Other names 1

  • Cornerstone Therapies Doing business as

National Provider Directory

National Provider Directory
Part of
Cameron Therapies LLC

Locations

2148 Ashford Dr
Clovis, NM 88101
Phone (575) 935-1177

2420 Ashford Dr
Clovis, NM 88101
Phone (575) 935-1177

809 Parkland Dr
Clovis, NM 88101
Phone (575) 935-2700

Practitioners & affiliated clinicians

Practitioners 10

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": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1558772541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MONTICELLO PARKWAY DR",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881308200",
            "telephone_number": "806-928-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 PARKLAND DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014474",
            "telephone_number": "806-928-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON THERAPIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMERON THERAPIES, LLC",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/SECRETARY",
        "authorized_official_telephone_number": "806-928-2436",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NM",
            "license": "3292",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NM",
            "license": "1525",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "5169",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "5171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.