Active NPI
Cornerstone Pediatric Rehabilitation Services
- Developmental Therapist
- Danville, IN
National Provider Identifier
1972948289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Legal business name
- CORNERSTONE PEDIATRIC REHABILITATION SERVICES
- Practice address
- 3380 E Main St
Danville, IN 46122-9089 - Phone
- (317) 718-0089
- Fax
- (317) 718-0089
- NPI assigned
- May 1, 2013
- Last updated
- May 1, 2013
- Organization subpart
- Yes
- Parent organization
- SYCAMORE REHABILITATION SERVICES HENDRICKS CO ARC INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick G Cockrum
- Title
- Ceo
- Phone
- (317) 745-4715
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Pediatric Nutrition Registered Dietitian | 133VN1004X | NU | ||
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Developmental Therapist | 222Q00000X | NU | Primary |
Addresses
Primary practice location
3380 E Main St
Danville, IN 46122-9089
Mailing address
3380 E Main St
Danville, IN 46122-9089
Phone (317) 718-0089
National Provider Directory
National Provider Directory- Part of
- Sycamore Rehabilitation Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367366400000",
"number": "1972948289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3380 E MAIN ST",
"city": "DANVILLE",
"state": "IN",
"postal_code": "461229089",
"telephone_number": "317-718-0089",
"fax_number": "317-718-0089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 E MAIN ST",
"city": "DANVILLE",
"state": "IN",
"postal_code": "461229089",
"telephone_number": "317-718-0089",
"fax_number": "317-718-0089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE PEDIATRIC REHABILITATION SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SYCAMORE REHABILITATION SERVICES HENDRICKS CO ARC INC",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A",
"authorized_official_last_name": "COCKRUM",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "317-745-4715",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.