Organization Active NPI

Cornerstone Performance and Physical Therapy

  • Physical Therapy Clinic/Center
  • New Bedford, MA
National Provider Identifier
1629833892
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CORNERSTONE PERFORMANCE AND PHYSICAL THERAPY
Practice address
127 Rodney French Blvd
New Bedford, MA 02744-1623
Phone
(608) 287-3604
NPI assigned
Feb 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Samantha OlsenNPI 1962877241
Title
Physical Therapist/Owner
Phone
(508) 287-3604

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

127 Rodney French Blvd
New Bedford, MA 02744-1623

Mailing address

112 Pleasant St
Fairhaven, MA 02719-3931

National Provider Directory

National Provider Directory

Locations

127 Rodney French Blvd
New Bedford, MA 02744
Phone (608) 287-3604

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1629833892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PLEASANT ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027193931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 RODNEY FRENCH BLVD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027441623",
            "telephone_number": "608-287-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PERFORMANCE AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "508-287-3604"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.