Organization Active NPI

Cornerstone Rehabilitation of Southaven

  • Physical Therapist
  • Southaven, MS
National Provider Identifier
1649719485
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CORNERSTONE REHABILITATION OF SOUTHAVEN
Practice address
484 Church Rd E
Southaven, MS 38671-9714
Phone
(662) 349-2489
Fax
(662) 349-2966
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Mrs. Theresa H Thompson
Title
Owner/President
Phone
(662) 473-1667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

484 Church Rd E
Southaven, MS 38671-9714

Mailing address

50 S Main St
Water Valley, MS 38965-2946
Phone (662) 473-1667

National Provider Directory

National Provider Directory

Locations

484 Church Rd E
Southaven, MS 38671
Phone (662) 349-2489

Practitioners & affiliated clinicians

Practitioners 2

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": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1649719485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S MAIN ST",
            "city": "WATER VALLEY",
            "state": "MS",
            "postal_code": "389652946",
            "telephone_number": "662-473-1667",
            "fax_number": "662-473-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 CHURCH RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719714",
            "telephone_number": "662-349-2489",
            "fax_number": "662-349-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE REHABILITATION OF SOUTHAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "662-473-1667",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.