Individual provider Active NPI

Cory L Midkiff, DPT

  • Physical Therapist
  • Paducah, KY
National Provider Identifier
1306272489
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2190 New Holt Rd Ste D
Paducah, KY 42001-8929
Phone
(270) 557-2121
Fax
(270) 557-2123
NPI assigned
Sep 19, 2013
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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 KY Primary

Addresses

Primary practice location

2190 New Holt Rd Ste D
Paducah, KY 42001-8929

Mailing address

2190 New Holt Rd Ste D
Paducah, KY 42001-8929

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131230001203 KY Practitioner - Physical Therapist in Private Practice 5395972053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 Singing Lark CV
Nicholasville, KY 40356-8352
Phone (270) 557-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Physical Therapy LLC CurrentSince Jul 23, 2018 Accepting new patients
Renewed Performance, LLC Physical Therapist CurrentSince Dec 15, 2020 Accepting new patients
Drayer Physical Therapy Kentucky LLC Physical Therapist PastSince Sep 27, 2020 Accepting new patients

Locations

2190 New Holt Rd
Ste A
Paducah, KY 42001

2190 New Holt Rd
Ste D
Paducah, KY 42001
Phone (270) 557-2121

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1306272489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 NEW HOLT RD STE D",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420018929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 NEW HOLT RD STE D",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420018929",
            "telephone_number": "270-557-2121",
            "fax_number": "270-557-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDKIFF",
        "first_name": "CORY",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.