Corey Ryan Smith, ATC, PTA, CSCS

Primary specialty

SpecialistTaxonomy code 174400000X

License

67 001019 Issued in NY

Practice address

71 Prospect Ave
Columbia Memorial Hospital
Hudson, NY 12534-2907

Phone

(518) 828-8206

NPI assigned

May 3, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073735775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "GLASCO",
            "state": "NY",
            "postal_code": "124320509",
            "telephone_number": "845-246-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PROSPECT AVE",
            "address_2": "COLUMBIA MEMORIAL HOSPITAL",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342907",
            "telephone_number": "518-828-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COREY",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "ATC, PTA, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "67 001019",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "66 006329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly J Sink, RD
• Edward Joseph Sisk, MS , RYT200
• Sabrena Ann Smiel, LMSW
• Abbey Faye Smith
• Amy Jo Smith, LCSW
• Denise L Smith, M.S.
• Jonathan Michael Smith, LMT
• Megan Grace Smith, LMSW
• Sarah Smith
• Evan Snow, PHARMD

• Specialist in Hudson, NY
• Providers in Hudson, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.