Organization Active NPI

Cornerstone Physical Therapy, LLC

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1750877478
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CORNERSTONE PHYSICAL THERAPY, LLC
Practice address
5517 S Hulen St
Fort Worth, TX 76132-2262
Phone
(817) 439-6200
Fax
(817) 439-6211
NPI assigned
Jul 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Authorized official

Name
Basem Mankerious, PT, DPTNPI 1265867063
Title
Owner
Phone
(817) 966-5821

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: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5517 S Hulen St
Fort Worth, TX 76132-2262

Mailing address

5517 S Hulen St
Fort Worth, TX 76132-2262
Phone (817) 439-6200

Other names 1

  • Cornerstone Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200107000214 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890036131 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

5517 S Hulen St
Fort Worth, TX 76132
Phone (817) 439-6200

6251 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-5700

Practitioners & affiliated clinicians

Practitioners 1

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": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739577600000",
    "number": "1750877478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761322262",
            "telephone_number": "817-439-6200",
            "fax_number": "817-439-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761322262",
            "telephone_number": "817-439-6200",
            "fax_number": "817-439-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A",
        "authorized_official_last_name": "MANKERIOUS",
        "authorized_official_first_name": "BASEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-966-5821",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

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