Ila Corder, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AO1314 Issued in KY

Practice address

368 Penny LN
Williamsburg, KY 40769-7481

Phone

(606) 549-0886

Fax

(606) 549-2665

NPI assigned

Dec 17, 2014

Last updated

Dec 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1265830657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 PENNY LN",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407697481",
            "telephone_number": "606-549-0886",
            "fax_number": "606-549-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 PENNY LN",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407697481",
            "telephone_number": "606-549-0886",
            "fax_number": "606-549-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDER",
        "first_name": "ILA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "AO1314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Virginia Elaine Cloud, APRN
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• Michael C Culver, DVM
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• Cumberland Foot and Ankle Center
• Cumberland Mountain Behavioral Health

• Physical Therapy Assistant in Williamsburg, KY
• Providers in Williamsburg, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.