Active NPI
Deborah Ann Corley, MPT
- Physical Therapist
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007717
- Practice address
- 817 Crawford Ave
Augusta, GA 30904-3772 - Phone
- (706) 736-1255
- Fax
- (706) 736-1258
- NPI assigned
- Sep 6, 2007
- Last updated
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007717 | GA | Primary |
| Physical Therapist | 225100000X | 4677 | SC |
Addresses
Primary practice location
817 Crawford Ave
Augusta, GA 30904-3772
Mailing address
817 Crawford Ave
Augusta, GA 30904-3772
Phone (706) 736-1255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007717 | GA | MD | Physical Therapist |
| 4677 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maguire Therapy Services Inc. | Current | Accepting new patients | |
| Proactive Rehabilitation & Wellness LLC | Physical Therapist | Current | Accepting new patients |
| Functional Pathways Preferred of Tennessee LLC | Physical Therapist | Current | Accepting new patients |
| Proactive Physical Therapy and Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Neuro-Developmental Treatment Programs, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
106 Pleasant Home Rd
Ste 2K
Augusta, GA 30907
Phone (706) 724-6543
2103 Reedale Ave
Augusta, GA 30906
Phone (706) 414-5058
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2849
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Augusta, GA
- NPI 1407174535
-
- Occupational Therapist
- Augusta, GA
- NPI 1518577733
Physical Therapist
-
- Physical Therapy Clinic/Center
- Augusta, GA
- NPI 1902102452
Physical Therapist
-
dba NDT Programs
- Occupational Therapist
- Augusta, GA
- NPI 1417924036
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1366637910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 CRAWFORD AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309043772",
"telephone_number": "706-736-1255",
"fax_number": "706-736-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 CRAWFORD AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309043772",
"telephone_number": "706-736-1255",
"fax_number": "706-736-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLEY",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT007717",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4677",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.