NPIMap

Organization Active NPI

Cornerstone Fitness and Wellness

  • Physical Therapist
  • Clanton, AL
National Provider Identifier
1669478152
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10682 Issued in AL
Legal business name
CORNERSTONE FITNESS AND WELLNESS
Practice address
110 Baker Ave
Clanton, AL 35045-2337
Phone
(205) 280-6450
Fax
(205) 280-6451
NPI assigned
Jun 21, 2005
Last updated
Nov 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Mrs. Andrea West
Title
Billing Manager
Phone
(205) 280-6450

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 10682 AL Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X 10682 AL

Addresses

Primary practice location

110 Baker Ave
Clanton, AL 35045-2337

Mailing address

PO Drawer 1200
110 Baker Ave
Clanton, AL 35046
Phone (205) 280-6450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110616000447 AL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3375721566 Practice locations: Clanton, AL

National Provider Directory

National Provider Directory

Locations

110 Baker Ave
Clanton, AL 35045
Phone (205) 280-6450

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1669478152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER 1200",
            "address_2": "110 BAKER AVE",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "35046",
            "telephone_number": "205-280-6450",
            "fax_number": "205-280-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BAKER AVE",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452337",
            "telephone_number": "205-280-6450",
            "fax_number": "205-280-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FITNESS AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "205-280-6450",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "10682",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "10682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.