Organization Active NPI

Cornerstone Physical Therapy

  • Physical Therapist
  • Dawsonville, GA
National Provider Identifier
1699072405
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004873 Issued in GA
Legal business name
CORNERSTONE PHYSICAL THERAPY
Practice address
54 Lumpkin Campground Rd S
Suite 100
Dawsonville, GA 30534-6196
Phone
(706) 216-7910
Fax
(706) 216-7909
NPI assigned
Feb 15, 2011
Last updated
Feb 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Mr. Kenneth James Whitlow, PT
Title
Physical Therapist/ Owner
Phone
(706) 216-7910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT004873 GA Primary

Addresses

Primary practice location

54 Lumpkin Campground Rd S
Suite 100
Dawsonville, GA 30534-6196

Mailing address

54 Lumpkin Campground Rd S
Suite 100
Dawsonville, GA 30534-6196
Phone (706) 216-7910

National Provider Directory

National Provider Directory

Locations

54 Lumpkin Campground Rd S
Ste 100
Dawsonville, GA 30534
Phone (706) 216-4735

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": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1699072405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 LUMPKIN CAMPGROUND RD S",
            "address_2": "SUITE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346196",
            "telephone_number": "706-216-7910",
            "fax_number": "706-216-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 LUMPKIN CAMPGROUND RD S",
            "address_2": "SUITE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346196",
            "telephone_number": "706-216-7910",
            "fax_number": "706-216-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "WHITLOW",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "706-216-7910",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.