Provider Demographics
NPI:1083405229
Name:CORNERSTONE INTEGRATED THERAPY, LLC.
Entity type:Organization
Organization Name:CORNERSTONE INTEGRATED THERAPY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-408-9361
Mailing Address - Street 1:4201 CYPRESS CREEK PKWY STE 565
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3498
Mailing Address - Country:US
Mailing Address - Phone:832-680-6084
Mailing Address - Fax:832-747-7552
Practice Address - Street 1:4201 CYPRESS CREEK PKWY STE 565
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3498
Practice Address - Country:US
Practice Address - Phone:832-680-6084
Practice Address - Fax:832-747-7552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)