Corey Burrill

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

306019 Issued in CA

Practice address

27616 Newhall Ranch Rd Unit 35
Valencia, CA 91355-4015

Phone

(661) 254-0488

NPI assigned

Jun 6, 2024

Sex

Male

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Drexel University College of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Socal Physical Therapy IncGroup PAC ID 3779631445, 3 clinicians

Practice addresses (Care Compare)

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.

• Socal Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Valencia, CA
  • NPI 1689810087
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1134960651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27616 NEWHALL RANCH RD UNIT 35",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27616 NEWHALL RANCH RD UNIT 35",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554015",
            "telephone_number": "661-254-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRILL",
        "first_name": "COREY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Melissa Burgess
• Tess Margaret Burgio, BCBA
• Brenna Burke
• Gina Burns
• Margaret F Burr, M.F.T.
• Jennifer Burstein
• Julianne Busch
• Francis Pablo Bustos
• Keili Nicole Butler
• Kaitlin Butulan, APCC

• Physical Therapist in Valencia, CA
• Providers in Valencia, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.