Provider Demographics
NPI:1528535010
Name:CORNERSTONE PHYSICAL THERAPY ASHEVILLE, INC
Entity Type:Organization
Organization Name:CORNERSTONE PHYSICAL THERAPY ASHEVILLE, INC
Other - Org Name:CORNERSTONE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:FIBRAIO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:828-684-3611
Mailing Address - Street 1:600 JULIAN LN STE 660
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-7815
Mailing Address - Country:US
Mailing Address - Phone:828-684-3611
Mailing Address - Fax:828-684-3612
Practice Address - Street 1:1201 BLEACHERY BLVD STE 201
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-8317
Practice Address - Country:US
Practice Address - Phone:828-684-3611
Practice Address - Fax:828-684-3612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty