Individual provider Active NPI

Corey Ryan Frost Degaia, DPT

  • Physical Therapist
  • Apex, NC
National Provider Identifier
1366087330
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19924 Issued in NC
Practice address
1801 Olive Chapel Rd Ste 103
Apex, NC 27502-8587
Phone
(919) 373-5353
NPI assigned
Nov 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 61005829 WA
Physical Therapist 225100000X P19924 NC Primary

Addresses

Primary practice location

1801 Olive Chapel Rd Ste 103
Apex, NC 27502-8587

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Other practice location 1

2701 60th Ave SE
Mercer Island, WA 98040-2416
Phone (206) 230-9613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200127002311 WA Practitioner - Physical Therapist in Private Practice 6103251863 Reassigns benefits to 1 organization
I20201112002106 NC Practitioner - Physical Therapist in Private Practice 6103251863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians

Practice addresses (Care Compare)

10564 5TH Ave NE
Suite 205
Seattle, WA 98125-7200
Phone (206) 486-3337

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
85.21
Promoting interoperability
99
Improvement activities
40
Cost
77.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19924NCMDPhysical Therapist
61005829WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Aug 20, 2024 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Aug 20, 2024 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Oct 6, 2020 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

1801 Olive Chapel Rd
Ste 103
Apex, NC 27502
Phone (919) 373-5353

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

915 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 243-6922

11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

7900 SE 28th St
Ste 102
Mercer Island, WA 98040
Phone (206) 232-9045

10564 5th Ave NE
Ste 205
Seattle, WA 98125
Phone (206) 357-4093

Interoperability endpoints

  • Direct secure messaging: corey.degaia.p12@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1366087330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 OLIVE CHAPEL RD STE 103",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028587",
            "telephone_number": "919-373-5353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 60th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Mercer Island",
            "state": "WA",
            "postal_code": "980402416",
            "country_code": "US",
            "telephone_number": "206-230-9613",
            "fax_number": "206-275-3205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGAIA",
        "first_name": "COREY",
        "middle_name": "RYAN FROST",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61005829",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.