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CORNERSTONE THERAPY AND BALANCE CENTER LLC NPI 1659518041


NPI Information

NPI: 1659518041
Provider Name: CORNERSTONE THERAPY AND BALANCE CENTER, LLC

Doing Business As: CORNERSTONE REHABILITATION

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
8961 YOUREE DR
SHREVEPORT, LA
ZIP 71115
Phone: (318) 671-8772
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CORNERSTONE THERAPY AND BALANCE CENTER, LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Shreveport, LA. CORNERSTONE THERAPY AND BALANCE CENTER, LLC NPI is 1659518041. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cornerstone Rehabilitation.

The provider's business location address is:

8961 YOUREE DR
SHREVEPORT, LA
ZIP 71115-001
Phone: (318) 671-8772
Fax: (318) 671-8776

The provider's authorized official is Coan Alan Knight .
The authorized official title is Co-owner and has the following contact phone number (318) 671-8772.

The enumeration date for this NPI number is 1/7/2009 and was last updated on 4/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
2225X00000XOccupational TherapistNo
3235Z00000XSpeech-Language PathologistNo
4261QP2000XClinic/CenterPhysical TherapyNo
5261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
119-76792MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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