Cornerstone PT Associates,LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

0645 Issued in NH

Legal business name

CORNERSTONE PT ASSOCIATES,LLC

Practice address

64 Freetown Rd Ste 3
Raymond, NH 03077-2356

Phone

(603) 895-6860

Fax

(603) 895-6861

NPI assigned

Dec 30, 2017

Last updated

Dec 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Mark Richards, PT

Title

Owner

Phone

(603) 895-6860

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cornerstone Physical Therapy Associates,LLC Former legal business name

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

{
    "created_epoch": "1514592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514592000000",
    "number": "1780191601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 FREETOWN RD STE 3",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030772356",
            "telephone_number": "603-895-6860",
            "fax_number": "603-895-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 FREETOWN RD STE 3",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030772356",
            "telephone_number": "603-895-6860",
            "fax_number": "603-895-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PT ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-30",
        "last_updated": "2017-12-30",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-895-6860",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NH",
            "license": "0645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1386832533",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12149135",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Physical Therapy Associates,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Samantha Jo Carpenterie, RN
• Eman Isabelle Carreon, DMD
• Concord Orthopaedics Professional Association
• Core Physicians LLC (Core Podiatry)
• Cornerstone Physical Therapy Associates, LLC
• Heidi Crusberg, M.D.
• Sonny Dahood
• Kevin William Daly, MAOM
• Jenna Davis, LICSW
• Meagan Thelma Dearborn

• Orthopedic Physical Therapist in Raymond, NH
• Providers in Raymond, NH by specialty
• Orthopedic Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2017; 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.