Organization Active NPI

Cornerstone Physical Therapy

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1679663215
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CORNERSTONE PHYSICAL THERAPY
Practice address
2140 Academy Cir
Suite a
Colorado Springs, CO 80909-1690
Phone
(719) 596-5000
Fax
(719) 596-0890
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joel Rauser, BMR, PT, MTCNPI 1235229881
Title
Owner
Phone
(719) 596-5000

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2140 Academy Cir
Suite a
Colorado Springs, CO 80909-1690

Mailing address

2140 Academy Cir
Suite a
Colorado Springs, CO 80909-1690
Phone (719) 596-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040913000615 CO Part B Supplier - Clinic/Group Practice 2860469525 Receives reassigned benefits from 6 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

2140 Hollow Brook Dr
Ste 200
Colorado Springs, CO 80918
Phone (719) 596-5000

Practitioners & affiliated clinicians

Practitioners 6

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679663215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 ACADEMY CIR",
            "address_2": "SUITE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091690",
            "telephone_number": "719-596-5000",
            "fax_number": "719-596-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 ACADEMY CIR",
            "address_2": "SUITE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091690",
            "telephone_number": "719-596-5000",
            "fax_number": "719-596-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAUSER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-596-5000",
        "authorized_official_credential": "BMR, PT, MTC"
    },
    "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 Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.