NPIMap

Organization Active NPI

Cornerstone Rehabilitation Services, P.C.

  • Pediatric Physical Therapist
  • Danville, IN
National Provider Identifier
1588710602
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
53000049A Issued in IN
Legal business name
CORNERSTONE REHABILITATION SERVICES, P.C.
Practice address
3380 E Main St
Danville, IN 46122-9089
Phone
(317) 718-0089
Fax
(317) 718-0097
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Carla J Gregory, P.T.
Title
President
Phone
(317) 718-0089

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 53000049A IN Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 53000049A IN
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 53000049A IN

Addresses

Primary practice location

3380 E Main St
Danville, IN 46122-9089

Mailing address

3380 E Main St
Danville, IN 46122-9089
Phone (317) 718-0089

Other identifiers 3

IdentifierTypeStateIssuer
200485920AMedicaidIN
200402020AMedicaidIN
200716340OtherINFIRST STEPS

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Pediatric Rehabilitation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1588710602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229089",
            "telephone_number": "317-718-0089",
            "fax_number": "317-718-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229089",
            "telephone_number": "317-718-0089",
            "fax_number": "317-718-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE REHABILITATION SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-718-0089",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "53000049A",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IN",
            "license": "53000049A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "53000049A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200485920A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200402020A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS",
            "identifier": "200716340",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.