Corey Southers, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013384 Issued in OH

Practice address

4041 N High St Ste 100a
Columbus, OH 43214-3248

Phone

(815) 901-1198

NPI assigned

Jul 6, 2010

Last updated

Nov 2, 2024By 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

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Rehabilitation Redefined LLCGroup PAC ID 6406366236, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Rehabilitation Redefined, LLC

  dba Outlive Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • Columbus, OH
  • NPI 1700609047
  Medicare reassignment Care Compare group NPD Authorized official
• Orthopaedics & Sports Medicine Owensboro PSC

  dba Advanced Center for Orthopedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Owensboro, KY
  • NPI 1033210828

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1386956449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 NORTHRIDGE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143324",
            "telephone_number": "815-901-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N HIGH ST STE 100A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143248",
            "telephone_number": "815-901-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERS",
        "first_name": "COREY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "013384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Talanda-Fath Southerland, M.D.
• Southern Medical Clinic
• Southern Vision Center, Inc.
• Laura Jane Southern, LPCC
• Shanice Marie Southern, LICENSED COUNSELOR
• Korissa Southers
• Southside Health Urgent Care, Inc (Urgent Care Plus)
• Southwest Family Dentistry, LLC
• Southwest Lithotripsy
• Southwestern Internal Medicine Assoc Inc

• Physical Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.