CORNERSTONE THERAPY & BALANCE CENTER LLC (NPI# 1710186853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710186853 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE THERAPY & BALANCE CENTER LLC |
| Practice Address |
25298 Lee Hwy Abingdon VA 24211-7460 |
| Practice Telephone | 2766983104 |
| Mailing Telephone | 2766983104 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2014-03-12 |
| Authorized Official Name | CANDACE R MOORE (OWNER/THERAPIST) |
| Authorized Official Telephone | 2766983104 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2305203632 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | UNITED HEALTHCARE/JOHN DE | TN0101 | 01 |
| VA | MEDICARE LEGACY PIN | C09591 | 01 |
| VA | ANTHEM BCBS | 193685 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CORNERSTONE THERAPY & BALANCE CENTER LLC | 30043 Lanier Dr, Meadowview, Virginia 24361 |
| Street Address |
25298 LEE HWY |
| City | ABINGDON |
| State | VA |
| Zip Code | 24211-7460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295881621 | Candace R. Moore | Physical Therapist | 25298 Lee Hwy, Abingdon, VA 24211-7460 | 2007-01-26 |
| 1447874458 | Hannah Hubbard | Physical Therapist | 25298 Lee Hwy, Abingdon, VA 24211-7460 | 2020-06-05 |
| 1144860701 | Kyle Thomas Lilly | Physical Therapist | 25298 Lee Hwy, Abingdon, VA 24211-7460 | 2020-01-13 |
| 1134682701 | Dana Conley James | Occupational Therapist | 25298 Lee Hwy, Abingdon, VA 24211-7460 | 2019-04-10 |
| 1700323953 | Robin G. Harris | Physical Therapy Assistant | 25298 Lee Hwy, Abingdon, VA 24211-7460 | 2017-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386087245 | Abingdon Apothecary, Inc. | Pharmacy | 26100 Lee Highway, Abingdon, VA 24211 | 2013-04-10 |
| 1255671152 | Mac's Medical Equipment and Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 26102 Lee Highway, Abingdon, VA 24211 | 2013-03-01 |
| 1316290737 | Falcon Pharmacy | Pharmacy | 795 Cummings Street, Abingdon, VA 24211 | 2012-10-23 |
| 1407027402 | Carla M. Keene, D.d.s. | Dentist | 15189 Porterfield Highway, Abingdon, VA 24211 | 2008-03-18 |
| 1215001045 | Bernard A Tisdale Md PC | Radiology | 26079 Lee Highway, Abingdon, VA 24211 | 2006-11-20 |
| 1982670048 | Jeffrey Allen Mccraw | Anesthesiology | 351 North Court St, Abingdon, VA 24211 | 2006-02-27 |
| 1356320881 | Joseph A Brown | Internal Medicine | 16000 Johnston Memorial Drive, Suite 304, Abingdon, VA 24211 | 2006-01-12 |
| 1922667435 | Saman Saeed | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Drive, Abingdon, VA 24211 | 2019-06-08 |
| 1487140562 | Joshua Aaron Hess | Nurse Practitioner | 16000 Johnston Memorial Dr, Abingdon, VA 24211 | 2018-07-02 |
| 1073005989 | Carl Thurman Harrison Jr. | Nurse Practitioner | 16000 Johnston Memorial Dr, Abingdon, VA 24211 | 2018-06-06 |
| Find all providers in zip 24211 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673482 | True Sports Physical Therapy, LLC | Clinic/Center | 1305 Governors Ct Ste D, Abingdon, MD 21009-2345 | 2020-06-15 |
| 1720525462 | Pioneer Pt LLC | Clinic/Center | 301 Lothian Way, Unit 303, Abingdon, MD 21009-2690 | 2017-01-19 |
| 1174736862 | Abingdon Therapy Services, Inc | Clinic/Center | 220 Cook St E Ste 2, Abingdon, VA 24210-3225 | 2007-05-08 |
| 1710411558 | Innovative Physical Therapy and Fitness Centers LLC | Clinic/Center | 100 Walter Ward Blvd, Unit 200, Abingdon, MD 21009 | 2017-04-19 |
| 1104013549 | Kellie Ann Stanley | Clinic/Center | 3465 Box Hill Corporate Center Dr, Ste G, Abingdon, MD 21009-1261 | 2007-10-01 |
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| 1154948933 | My Pt and Pilates Inc | Clinic/Center | 6706 Red Jacket Rd, Springfield, VA 22152-2633 | 2020-06-29 |
| 1871117705 | Level Up Physical Therapy | Clinic/Center | 1625 Maiden Ln, Charlottesville, VA 22911-7509 | 2020-06-06 |
| 1942824297 | Heitmann Physical Therapy and Wellness | Clinic/Center | 6008 Sunset Ridge Ct, Centreville, VA 20121-3051 | 2020-06-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.