Cory Randolph Lail

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P17575 Issued in NC

Practice address

2630 E 7TH St Ste 206
Charlotte, NC 28204

Phone

(704) 333-1052

Fax

(704) 333-1054

NPI assigned

Nov 9, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carolina Sports Chiropractic PLLC

  • Chiropractor
  • Charlotte, NC
  • NPI 1902034846
  Medicare reassignment NPD

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1104339480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 E 7TH ST STE 206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044319",
            "telephone_number": "704-333-1052",
            "fax_number": "704-333-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 E 7TH ST STE 206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-333-1052",
            "fax_number": "704-333-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIL",
        "first_name": "CORY",
        "middle_name": "RANDOLPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaney Jean Lafontaine
• Sara Bonnett Laforce, LPC
• Brenda Lynn Lagrange-Lowery, MA, LCMHC, NCC
• Delaney Joseph Lagrew, MD
• William David Laidig
• Dakota Lail
• Macie Lail, PHARMD
• Madison Lail
• Hanna Laneuskaya Lainas, LPC
• Anne Kernodle Laing, OTR/L

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.