Corey Deven Ackley, PT, DPT
Individual provider Active NPI Physical Therapist · Las Vegas, NV
NPI 1124686027 · NPPES record last updated Jun 5, 2019
Key facts
- NPI
- 1124686027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4026 (NV)
- Practice address
- 2650 N Tenaya Way Ste 180
Las Vegas, NV 89128-1110 - Phone
- (702) 240-2952
- NPI assigned
- Jun 5, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dignity Select Nevada LLC
Practice addresses (Care Compare)
400 N Stephanie St
Suite 310
Henderson, NV 89014-6608
Phone (702) 454-1162
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190909003433 | NV | Practitioner - Physical Therapist in Private Practice | 9830428341 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Select Nevada LLC | Physical Therapist | Current | Accepting new patients |
| Dignity Select Nevada, LLC | Current |
Accepting new patients | |
| Dignity Select Nevada LLC | Current |
Accepting new patients |
Locations
400 N Stephanie St
Ste 310
Henderson, NV 89014
Phone (702) 360-9142
2904 W Horizon Ridge Pkwy
Ste 121
Henderson, NV 89052
Phone (702) 897-7331
555 College Dr
Ste C
Henderson, NV 89015
Phone (725) 254-1251
1395 Raiders Way
Ste 140
Henderson, NV 89052
Phone (725) 241-6800
2850 W Horizon Ridge Pkwy
Ste 320
Henderson, NV 89052
Phone (702) 564-4116
2651 Paseo Verde Pkwy
Ste 170
Henderson, NV 89074
Phone (702) 312-4878
2110 E Flamingo Rd
Ste 314
Las Vegas, NV 89119
Phone (702) 813-1237
4855 Blue Diamond Rd
Ste 210
Las Vegas, NV 89139
Phone (725) 207-3770
10630 Dean Martin Dr
Ste 120
Las Vegas, NV 89141
Phone (725) 254-1330
1776 E Warm Springs Rd
Ste 106
Las Vegas, NV 89119
Phone (702) 603-4110
821 N Nellis Blvd
Ste 130
Las Vegas, NV 89110
Phone (702) 227-4447
9880 W Flamingo Rd
Ste 260
Las Vegas, NV 89147
Phone (702) 360-9142
6048 S Durango Dr
Ste 100
Las Vegas, NV 89113
Phone (702) 260-6238
2650 N Tenaya Way
Ste 180
Las Vegas, NV 89128
Phone (702) 240-2952
4980 W Sahara Ave
Ste 260
Las Vegas, NV 89146
Phone (702) 240-2952
8675 W Rome Blvd
Ste 140
Las Vegas, NV 89149
Phone (725) 206-7929
8740 W Charleston Blvd
Ste 12
Las Vegas, NV 89117
Phone (725) 257-6560
1550 W Craig Rd
Ste 210
North Las Vegas, NV 89032
Phone (702) 343-0623
2550 Nature Park Dr
Ste 250
North Las Vegas, NV 89084
Phone (702) 524-8555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4026 | NV | Yes |
Addresses
Primary practice location
2650 N Tenaya Way Ste 180
Las Vegas, NV 89128-1110
Mailing address
10531 Brownsville Ave
Las Vegas, NV 89129-3217
Phone (702) 239-5016
Other providers in Las Vegas, NV
- Alyssa Ackerman
- Genevieve Ackerman
- Noah Ackerman
- Saundra Ackerman
- Teri Elizabeth Ackles
- Christine Leann Ackmann
- Sandra Ackumey
- Kevin Gorkian Aclan
- Acme Assisted Living LLC
- Acnm 1 LLC
All providers in Las Vegas, NV · Physical Therapist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.