Individual provider Active NPI

Corey Elizabeth Temple

  • Physical Therapist
  • Royal Oak, MI
National Provider Identifier
1255048740
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302002 Issued in MI
Practice address
2605 W 14 Mile Rd Ste 130
Royal Oak, MI 48073-1710
Phone
(248) 513-3003
Fax
(248) 513-3004
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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 5501302002 MI Primary

Addresses

Primary practice location

2605 W 14 Mile Rd Ste 130
Royal Oak, MI 48073-1710

Mailing address

2396 Earlmont Rd
Berkley, MI 48072-1838
Phone (248) 672-9226

Other practice location 1

46001 Grand River Ave
Novi, MI 48374-1319
Phone (248) 513-3003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221121002285 MI Practitioner - Physical Therapist in Private Practice 9133597214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adams Sports Medicine and Physical Therapy, P.C.Group PAC ID 0648419077, 11 clinicians

Practice addresses (Care Compare)

46001 Grand River Ave
Suite a
Novi, MI 48374-1319
Phone (248) 513-3003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501302002MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adams Sports Medicine & Physical Therapy, P.C. Physical Therapist CurrentSince Nov 8, 2022 Accepting new patients

Locations

46001 Grand River Ave
Ste A
Novi, MI 48374
Phone (248) 513-3003

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": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1255048740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2396 EARLMONT RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721838",
            "telephone_number": "248-672-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W 14 MILE RD STE 130",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731710",
            "telephone_number": "248-513-3003",
            "fax_number": "248-513-3004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46001 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741319",
            "country_code": "US",
            "telephone_number": "248-513-3003",
            "fax_number": "248-513-3004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "COREY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.