Individual provider Active NPI

Corey Alexander Ball, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1194598813
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40857 Issued in FL
Practice address
1202 W Carmen St
Tampa, FL 33606-1303
Phone
(813) 682-3640
Fax
(813) 682-3650
NPI assigned
Nov 3, 2023
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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 PT40857 FL Primary

Addresses

Primary practice location

1202 W Carmen St
Tampa, FL 33606-1303

Mailing address

1202 W Carmen St
Tampa, FL 33606-1303
Phone (813) 682-3640

Other practice location 1

2764 E Fowler Ave
Tampa, FL 33612-6277
Phone (813) 978-1704

Other practice location 2

11375 Big Bend Rd
Riverview, FL 33579-7183
Phone (813) 805-8167

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106000557 IL Practitioner - Physical Therapist in Private Practice 9537697503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fit Institute PCGroup PAC ID 3678982550, 8 clinicians

Practice addresses (Care Compare)

701 N Milwaukee Ave
Suite 246B
Vernon Hills, IL 60061-1524
Phone (773) 796-3096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40857FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Institute PC Physical Therapist CurrentSince Dec 13, 2024 Accepting new patients
The Fit Institute PastSince Dec 13, 2024 Accepting new patients

Locations

2500 W Bradley Pl
Ste F
Chicago, IL 60618
Phone (773) 799-2795

701 N Milwaukee Ave
Ste 246B
Vernon Hills, IL 60061
Phone (773) 796-3069

Networks

  • Optimum HealthCare HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1194598813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W CARMEN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061303",
            "telephone_number": "813-682-3640",
            "fax_number": "813-682-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W CARMEN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061303",
            "telephone_number": "813-682-3640",
            "fax_number": "813-682-3650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2764 E Fowler Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336126277",
            "country_code": "US",
            "telephone_number": "813-978-1704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11375 Big Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335797183",
            "country_code": "US",
            "telephone_number": "813-805-8167",
            "fax_number": "844-214-1382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "COREY",
        "middle_name": "ALEXANDER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-03",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.