Corey Millward

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE010829 Issued in PA

Practice address

108 Franciscan Way
Loretto, PA 15940-9703

Phone

(814) 472-3936

NPI assigned

Jul 20, 2016

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1346693736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 GALLITZIN RD",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166302213",
            "telephone_number": "814-886-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FRANCISCAN WAY",
            "city": "LORETTO",
            "state": "PA",
            "postal_code": "159409703",
            "telephone_number": "814-472-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLWARD",
        "first_name": "COREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE010829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346693736",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dscrshr@upmc.edu",
            "affiliation": "N",
            "address_1": "108 Franciscan Way",
            "city": "Loretto",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159409703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Gary Krepps Jr., PA-C
• Brookke Dannyel Mahaffey, LAT, ATC
• Melanie Kay Malek, PT, PHD, MSPT
• Shannon May
• Corinne Elaine Meisel, DPT
• Julie Marie Nagle, M.O.T., OTR/L
• Carissa Novotny, PA-C
• Dakota Ott
• Anthony George Pazcoguin, PHARMD
• J Jeffrey Phillips, RDMS

• Physical Therapy Assistant in Loretto, PA
• Providers in Loretto, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.