Core Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CORE PHYSICAL THERAPY LLC

Practice address

415 E Cook Rd Ste 600
Fort Wayne, IN 46825-3657

Phone

(260) 438-4273

NPI assigned

Jan 3, 2019

Last updated

Jan 3, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Chad Parent, PTNPI 1306845797

Title

Owner

Phone

(260) 438-4273

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19089/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad E Parent, PT

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1306845797
  Medicare reassignment Care Compare group NPD Authorized official
• Kristine Briggs-Connelly, MSPT

  • Orthopedic Physical Therapist
  • Fort Wayne, IN
  • NPI 1174504278
  Medicare reassignment Care Compare group NPD
• Kelly Rene Hughes, MED CCC SLP

  • Speech-Language Pathologist
  • Indianapolis, IN
  • NPI 1962525469
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1073086914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E COOK RD STE 600",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253657",
            "telephone_number": "260-438-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E COOK RD STE 600",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468253657",
            "telephone_number": "260-438-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "PARENT",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-438-4273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay J Cordes, PHARMD
• Terri Ann Cordes, PA
• Vanessa Cordova
• Core Dental Care
• Core Dynamics
• Samuel Louis Corey II, MD
• Samuel Louis Corey, D.D.S.
• Elise Cormany, OTR/L
• Cornerstone Caregiving East LLC (Cornerstone Caregiving)
• Cornerstone Counseling & Consulting, P.C,

• Physical Therapy Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.