Active NPI
Corey Elizabeth Temple
- Physical Therapist
- Royal Oak, MI
National Provider Identifier
1255048740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501302002
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501302002 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adams Sports Medicine & Physical Therapy, P.C. | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Novi, MI
- NPI 1043553597
MI, Physical Therapist
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.