Individual provider Active NPI

Gary Corso, MS, PT

  • Physical Therapist
  • Pleasant Hill, CA
National Provider Identifier
1215002977
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42677 Issued in CA
Practice address
380 Civic Dr Ste 100
Pleasant Hill, CA 94523-1946
Phone
(925) 284-6150
Fax
(855) 814-5469
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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 PT42677 CA Primary

Addresses

Primary practice location

380 Civic Dr Ste 100
Pleasant Hill, CA 94523-1946

Mailing address

380 Civic Dr Ste 100
Pleasant Hill, CA 94523-1946
Phone (925) 284-6150

Other practice location 1

3658 Mt Diablo Blvd Ste 100
Lafayette, CA 94549-6883
Phone (925) 284-6150

Other practice location 2

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979

Other identifiers 1

IdentifierTypeStateIssuer
PT42677OtherCAPT BOARD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160815001291 CA Practitioner - Physical Therapist in Private Practice 6406805761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Physical Therapy IncGroup PAC ID 2365420601, 14 clinicians

Practice addresses (Care Compare)

3468 Mt Diablo Blvd
Lafayette, CA 94549-7105
Phone (925) 284-6150

380 Civic Dr
Suite 100
Pleasant Hill, CA 94523-1946
Phone (925) 284-3840

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
64.45
Improvement activities
40
Cost
81.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
42677CAMDGeneral Practice Dentistry
PT42677CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Sep 17, 2019 Accepting new patients
Lafayette Physical Therapy, Inc. Physical Therapist CurrentSince Jun 20, 2016 Accepting new patients
Lafayette Physical Therapy, Inc. Physical Therapist CurrentSince Jun 20, 2016 Accepting new patients
Corso Rehabilitation PT PC Physical Therapist PastSince Jan 8, 2010 Accepting new patients

Locations

3468 Mt Diablo Blvd
Ste B110
Lafayette, CA 94549
Phone (925) 284-6150

3658 Mt Diablo Blvd
Ste 100
Lafayette, CA 94549
Phone (925) 284-6150

68 Willow Rd
Menlo Park, CA 94025
Phone (650) 691-8630

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

Organizations & group practices 4

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1215002977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 CIVIC DR STE 100",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231946",
            "telephone_number": "925-284-6150",
            "fax_number": "855-814-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CIVIC DR STE 100",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231946",
            "telephone_number": "925-284-6150",
            "fax_number": "855-814-5469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3658 Mt Diablo Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CA",
            "postal_code": "945496883",
            "country_code": "US",
            "telephone_number": "925-284-6150",
            "fax_number": "855-814-4495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORSO",
        "first_name": "GARY",
        "credential": "MS, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT42677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT BOARD",
            "identifier": "PT42677",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.