Individual provider Active NPI

Korey Vera Pieper, D.P.T.

  • Physical Therapist
  • Walnut Creek, CA
National Provider Identifier
1093724726
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 32981 Issued in CA
Practice address
39 Quail CT Ste 300
Walnut Creek, CA 94596-5570
Phone
(925) 977-9300
Fax
(925) 395-4829
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 32981 CA Primary

Addresses

Primary practice location

39 Quail CT Ste 300
Walnut Creek, CA 94596-5570

Mailing address

39 Quail CT Ste 300
Walnut Creek, CA 94596-5570
Phone (925) 977-9300

Other practice location 1

4314 Piedmont Ave
201
Oakland, CA 94611-4716
Phone (510) 547-1630

Other names 1

  • Miss Korey Vera Pulas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061005000559 CA Practitioner - Physical Therapist in Private Practice 3577569086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go Beyond Physical Therapy IncGroup PAC ID 4981987716, 4 clinicians

Practice addresses (Care Compare)

39 Quail CT
Suite 300
Walnut Creek, CA 94596-5570
Phone (925) 977-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32981CAMDDentist
PT 32981CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Go Beyond Physical Therapy, Inc CurrentSince Dec 19, 2016 Accepting new patients
Lauren Elkind, D C CurrentSince Dec 23, 2016 Accepting new patients

Locations

39 Quail Ct
Ste 300
Walnut Creek, CA 94596
Phone (925) 952-9566

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1093724726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 QUAIL CT STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965570",
            "telephone_number": "925-977-9300",
            "fax_number": "925-395-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 QUAIL CT STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965570",
            "telephone_number": "925-977-9300",
            "fax_number": "925-395-4829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4314 Piedmont Ave",
            "address_2": "201",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946114716",
            "country_code": "US",
            "telephone_number": "510-547-1630",
            "fax_number": "510-923-1944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIEPER",
        "first_name": "KOREY",
        "middle_name": "VERA",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 32981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOREY",
            "last_name": "PULAS",
            "middle_name": "VERA",
            "prefix": "MISS",
            "credential": "D.P.T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.