Individual provider Active NPI

Joseph K Cork, DPT

  • Physical Therapist
  • Tupelo, MS
National Provider Identifier
1255188942
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6706 Issued in MS
Practice address
3418 W Main St Ste B
Tupelo, MS 38801-9446
Phone
(662) 554-9699
Fax
(662) 240-2260
NPI assigned
May 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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 PT6706 MS Primary

Addresses

Primary practice location

3418 W Main St Ste B
Tupelo, MS 38801-9446

Mailing address

3418 W Main St Ste B
Tupelo, MS 38801-9446
Phone (662) 554-9699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905002213 MS Practitioner - Physical Therapist in Private Practice 8426598467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Mississippi School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ford Physical Therapy PLLCGroup PAC ID 0941569024, 6 clinicians

Practice addresses (Care Compare)

3418 W Main St
Tupelo, MS 38801-9446
Phone (662) 554-9699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ford Physical Therapy PLLC Physical Therapist CurrentSince Jun 23, 2024 Accepting new patients

Locations

3418 W Main St
Tupelo, MS 38801
Phone (662) 554-9699

3418 W Main St
#B
Tupelo, MS 38801
Phone (662) 554-9699

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": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1255188942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 W MAIN ST STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388019446",
            "telephone_number": "662-554-9699",
            "fax_number": "662-240-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 W MAIN ST STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388019446",
            "telephone_number": "662-554-9699",
            "fax_number": "662-240-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORK",
        "first_name": "JOSEPH",
        "middle_name": "K",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

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