Individual provider Active NPI

Cory Cummins

  • Physical Therapist
  • Beavercreek, OH
National Provider Identifier
1407251564
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT. 014777 Issued in OH
Practice address
2655 Commons Blvd
Beavercreek, OH 45431-3773
Phone
(937) 320-9131
NPI assigned
Oct 30, 2014
Last updated
Oct 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT. 014777 OH Primary

Addresses

Primary practice location

2655 Commons Blvd
Beavercreek, OH 45431-3773

Mailing address

10242 Galena Pointe Dr
Galena, OH 43021-8521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221003001725 OH Practitioner - Physical Therapist in Private Practice 3971989716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

7109 Hamilton Mason Rd
Suite a
West Chester, OH 45069-1784
Phone (513) 759-6494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT. 014777OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates, Inc. Physical Therapist CurrentSince Aug 20, 2022 Accepting new patients
Rehabclinics SPT Inc CurrentSince Aug 1, 2022 Accepting new patients
Rehabclinics SPT Inc Physical Therapist Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Aug 20, 2022 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Physiotherapy Associates Inc Physical Therapist Current Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients

Locations

9596 Colerain Ave
Cincinnati, OH 45251
Phone (513) 661-3114

5999 Meijer Dr
Milford, OH 45150
Phone (513) 539-3488

3148 W Central Ave
Ste A
Toledo, OH 43606
Phone (419) 531-2690

7109 Hamilton Mason Rd
Ste A
West Chester, OH 45069
Phone (513) 759-6494

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1407251564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10242 GALENA POINTE DR",
            "city": "GALENA",
            "state": "OH",
            "postal_code": "430218521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 COMMONS BLVD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313773",
            "telephone_number": "937-320-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "CORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT. 014777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.