Individual provider Active NPI

Cory Wayne Cluff, PT

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1427111442
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1159163 Issued in TX
Practice address
10651 E St
Corpus Christi, TX 78419-5130
Phone
(361) 961-2534
Fax
(361) 961-6093
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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 1159163 TX Primary

Addresses

Primary practice location

10651 E St
Corpus Christi, TX 78419-5130

Mailing address

1011 Sacramento
Portland, TX 78374-4168
Phone (361) 777-2749

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1159163TXMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1427111442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 SACRAMENTO",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783744168",
            "telephone_number": "361-777-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10651 E ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784195130",
            "telephone_number": "361-961-2534",
            "fax_number": "361-961-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUFF",
        "first_name": "CORY",
        "middle_name": "WAYNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1159163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.