Cortney Lewis Herndon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305203850 Issued in VA

Practice address

109 Bridge Street Suite 300
Chatham, VA 24531-1222

Phone

(434) 793-4711

Fax

(434) 797-2514

NPI assigned

Nov 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Danville Physician Practices LLC

  • Anesthesiology Physician
  • Danville, VA
  • NPI 1629022868
  Medicare reassignment Care Compare group NPD
• Spectrum Medical Inc

  • Orthopaedic Surgery Physician
  • Danville, VA
  • NPI 1861597072
  Medicare reassignment NPD
• Fit & Function PT, LLC

  • Orthopedic Physical Therapist
  • Danville, VA
  • NPI 1225853328
  NPD Authorized official
• Danville Physician Practices LLC

  • Diagnostic Radiology Physician
  • Danville, VA
  • NPI 1265243612
  NPD
• Greensboro Pathology, LLC

  • Clinical Medical Laboratory
  • Greensboro, NC
  • NPI 1952396202
  NPD

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1629258223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BRIDGE STREET SUITE 300",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245311222",
            "telephone_number": "434-793-4711",
            "fax_number": "434-797-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BRIDGE STREET SUITE 300",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245311222",
            "telephone_number": "434-793-4711",
            "fax_number": "434-797-2514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 Spruce Street",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241124155",
            "country_code": "US",
            "telephone_number": "276-790-3233",
            "fax_number": "276-790-3233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "CORTNEY",
        "middle_name": "LEWIS",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA LICENSE",
            "identifier": "2305203850",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.spectrummed.com",
            "affiliation": "N",
            "address_1": "109 Bridge Street Suite 300",
            "city": "Chatham",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245311222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tangela Stephanie Hairston, FNP-BC
• Zachary Harrelson, PT, DPT
• Alesha Stone Harris
• Courtney Mustain Haskins, OTD
• Shannon Haskins
• Jacquese Hinton, QMHP
• Taylor Hite, COTA/L
• Allison Lindsey Howell, PT, DPT, SCS, CSCS
• Kayla McGuire Johnson
• Corliss Jones, MD

• Physical Therapist in Chatham, VA
• Providers in Chatham, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.