Cornerstone Therapy & Balance Center LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2305203632 Issued in VA

Legal business name

CORNERSTONE THERAPY & BALANCE CENTER LLC

Practice address

25298 Lee Hwy
Abingdon, VA 24211-7460

Phone

(276) 698-3104

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Candace R Moore, DPTNPI 1295881621

Title

Owner/Therapist

Phone

(276) 698-3104

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candace R. Moore, DPT

  • Physical Therapist
  • Abingdon, VA
  • NPI 1295881621
  Medicare reassignment NPD Authorized official
• Haley Brooke Collins, DPT

  • Physical Medicine & Rehabilitation Physician
  • Abingdon, VA
  • NPI 1174409619
  NPD
• Deanna Nicole Dailey, SPEECH LANGUAGE PATH

  • Speech-Language Pathologist
  • Abingdon, VA
  • NPI 1760718902
  NPD
• Hannah Howell, OTR/L

  • Occupational Therapist
  • Abingdon, VA
  • NPI 1194393132
  NPD
• Kara Deeds, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Abingdon, VA
  • NPI 1477432904
  NPD (past)
• Robin G. Harris, L.P.T.A.

  • Physical Therapy Assistant
  • Abingdon, VA
  • NPI 1700323953
  NPD (past)
• Bethany Hogston

  • Speech-Language Pathologist
  • Abingdon, VA
  • NPI 1992632962
  NPD (past)
• Dana Conley James, OTR

  • Occupational Therapist
  • Abingdon, VA
  • NPI 1134682701
  NPD (past)
• Abigail Jennings

  • Occupational Therapist
  • Abingdon, VA
  • NPI 1760353718
  NPD (past)
• Caroline Jessee

  • Occupational Therapist
  • Abingdon, VA
  • NPI 1922921311
  NPD (past)
• Libby Mathews, DPT

  • Physical Therapist
  • Bristol, TN
  • NPI 1871201046
  NPD (past)
• Hannah Matney, OTR/L

  • Pediatric Occupational Therapist
  • Jersey Village, TX
  • NPI 1801531751
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1710186853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25298 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117460",
            "telephone_number": "276-698-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25298 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117460",
            "telephone_number": "276-698-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE THERAPY & BALANCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "276-698-3104",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "VA",
            "license": "2305203632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "193685",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE/JOHN DE",
            "identifier": "TN0101",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY PIN",
            "identifier": "C09591",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven T Cook, MD
• Angela Marie Cooper
• Michael Cooper
• Afton Deann Cope, FNP-BC
• Macy Cope, LCSW
• Catherine Cotter, LCSW
• Jarrod Paul Couch, DO
• Cove Creek Emergency Physicians Medical Group, Inc.
• Tyler Adam Covey, DMD
• Larry H Cox, MD

• Physical Therapy Clinic/Center in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Physical Therapy Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.