Provider Demographics
NPI:1659880508
Name:CORNERSTONE PHYSICAL THERAPY INC.
Entity Type:Organization
Organization Name:CORNERSTONE PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:II
Authorized Official - Credentials:PT
Authorized Official - Phone:931-414-8542
Mailing Address - Street 1:358 CALDWELL ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-2032
Mailing Address - Country:US
Mailing Address - Phone:931-507-2400
Mailing Address - Fax:931-473-5663
Practice Address - Street 1:358 CALDWELL ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-2032
Practice Address - Country:US
Practice Address - Phone:931-507-2400
Practice Address - Fax:931-473-5663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3773261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy