Active NPI
Cory Lawson
- Physical Therapist
- Saint Charles, MO
National Provider Identifier
1376908673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2015023344
- Practice address
- 2053 Zumbehl Rd
Saint Charles, MO 63303-2723 - Phone
- (636) 940-2900
- Fax
- (630) 940-2967
- NPI assigned
- Dec 31, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2015023344 | MO | Primary |
Addresses
Primary practice location
2053 Zumbehl Rd
Saint Charles, MO 63303-2723
Mailing address
2053 Zumbehl Rd
Saint Charles, MO 63303-2723
Phone (636) 940-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015023344 | MO | MD | Physical Therapist |
Interoperability endpoints
- cory.lawson.p2@direct.athleticoltd.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451520000000",
"number": "1376908673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2053 ZUMBEHL RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633032723",
"telephone_number": "636-940-2900",
"fax_number": "630-940-2967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2053 ZUMBEHL RD",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633032723",
"telephone_number": "636-940-2900",
"fax_number": "630-940-2967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "CORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-31",
"last_updated": "2015-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2015023344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.