Organization Active NPI

Cornerstone Therapy and Balance Center, LLC

Doing business as Cornerstone Rehabilitation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Shreveport, LA
National Provider Identifier
1659518041
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
CORNERSTONE THERAPY AND BALANCE CENTER, LLC
Doing business as
Cornerstone Rehabilitation
Practice address
8961 Youree Dr
Shreveport, LA 71115-3001
Phone
(318) 671-8772
Fax
(318) 671-8776
NPI assigned
Jan 7, 2009
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Mr. Coan Alan Knight, PTNPI 1194970822
Title
Co-Owner
Phone
(318) 671-8772

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X LA Primary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

8961 Youree Dr
Shreveport, LA 71115-3001

Mailing address

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Other practice location 1

204 Tenaha St
Center, TX 75935-3862
Phone (936) 280-0280

Other identifiers 1

IdentifierTypeStateIssuer
19-76792MedicaidLA

Other names 1

  • Cornerstone Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090421000319 LA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0345397899 Practice locations: Shreveport, LA
O20190924000978 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0345397899 Receives reassigned benefits from 2 practitioners
Practice locations: Center, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659518041. Details of each certification follow.

  • CCN 196572 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 196572

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CORNERSTONE THERAPY AND BALANCE CENTER, LLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Aug 19, 1993
Last certification
Jun 26, 2023
Ownership / control type
Proprietary
Most recent change of ownership
Feb 1, 2009
Facility address
8961 Youree Drive
Shreveport, LA 71115

National Provider Directory

National Provider Directory

Locations

2205 E 70th St
Ste 102
Shreveport, LA 71105
Phone (318) 671-8772

8961 Youree Dr
Shreveport, LA 71115
Phone (318) 671-8772

204 Tenaha St
Center, TX 75935
Phone (318) 465-3391

Practitioners & affiliated clinicians

Practitioners 103

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.

View all 103

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1659518041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8961 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153001",
            "telephone_number": "318-671-8772",
            "fax_number": "318-671-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8961 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711153001",
            "telephone_number": "318-671-8772",
            "fax_number": "318-671-8776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Tenaha St",
            "address_purpose": "LOCATION",
            "city": "Center",
            "state": "TX",
            "postal_code": "759353862",
            "country_code": "US",
            "telephone_number": "936-280-0280",
            "fax_number": "936-657-0336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORNERSTONE THERAPY AND BALANCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "COAN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "318-671-8772",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19-76792",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cornerstone Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.