Individual provider Active NPI

Dustin Corbett, PT

  • Physical Therapist
  • McKinney, TX
National Provider Identifier
1124489802
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1271057 Issued in TX
Practice address
6151 County Road 124 Ste 200
McKinney, TX 75071-4837
Phone
(972) 645-1833
Fax
(972) 645-1834
NPI assigned
Mar 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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 1271057 TX Primary

Addresses

Primary practice location

6151 County Road 124 Ste 200
McKinney, TX 75071-4837

Mailing address

2141 N Aspenwood Dr
Grapevine, TX 76051-6941
Phone (817) 773-2557

Other practice location 1

1300 E Plano Pkwy Ste B
Plano, TX 75074-8546
Phone (469) 871-0090

Other practice location 2

18071 Deer Trl
Flint, TX 75762-4006
Phone (903) 574-5606

Other practice location 3

9500 Ray White Rd Ste 200
Fort Worth, TX 76244-9105
Phone (972) 548-2163

Other practice location 4

2141 N Aspenwood Dr
Grapevine, TX 76051-6941
Phone (817) 773-2557

Other identifiers 1

IdentifierTypeStateIssuer
1271057OtherTXPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sportherapy Southwest, PC Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1124489802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 N ASPENWOOD DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516941",
            "telephone_number": "817-773-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 COUNTY ROAD 124 STE 200",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714837",
            "telephone_number": "972-645-1833",
            "fax_number": "972-645-1834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 E Plano Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750748546",
            "country_code": "US",
            "telephone_number": "469-871-0090",
            "fax_number": "469-871-0091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18071 Deer Trl",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "TX",
            "postal_code": "757624006",
            "country_code": "US",
            "telephone_number": "903-574-5606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Ray White Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762449105",
            "country_code": "US",
            "telephone_number": "972-548-2163",
            "fax_number": "972-347-6306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2141 N Aspenwood Dr",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760516941",
            "country_code": "US",
            "telephone_number": "817-773-2557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "DUSTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-09",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1271057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "1271057",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.