Individual provider Active NPI

Kory Scott Straine, PT, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1437424918
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11247 Issued in AZ
Practice address
1907 W Camelback Rd
Phoenix, AZ 85015-3439
Phone
(602) 285-0949
Fax
(602) 285-0052
NPI assigned
Mar 15, 2012
Last updated
Apr 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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 11247 AZ Primary

Addresses

Primary practice location

1907 W Camelback Rd
Phoenix, AZ 85015-3439

Mailing address

PO Box 4570
Scottsdale, AZ 85261-4570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120514000333 CA Practitioner - Physical Therapist in Private Practice 4981867843 Reassigns benefits to 1 organization
I20150601000019 AZ Practitioner - Physical Therapist in Private Practice 4981867843 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Pain CenterGroup PAC ID 1052469152, 61 clinicians

Practice addresses (Care Compare)

6622 N 91St Ave
Suite 230
Glendale, AZ 85305-2570
Phone (602) 325-2024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Giardina Sportsmedicine Consultants, Inc. Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Jan 5, 2015 Accepting new patients
Giardina Sportsmedicine Consultants, Inc. CurrentSince Feb 18, 2024 Accepting new patients
Spooner Phoenix Physical Therapy, Inc. Physical Therapist CurrentSince Jan 5, 2015 Accepting new patients
West Coast Spine Restoration Center, Inc Physical Therapist CurrentSince Mar 21, 2012 Accepting new patients
KC's Physical Therapy LLC Past Accepting new patients

Locations

4730 E Lone Mountain Rd
Ste 114
Cave Creek, AZ 85331
Phone (480) 272-7140

1907 W Camelback Rd
Phoenix, AZ 85015
Phone (602) 285-0949

245 E Bell Rd
Ste 58
Phoenix, AZ 85022
Phone (602) 843-8486

303 E Baseline Rd
Ste 110
Phoenix, AZ 85042
Phone (602) 243-1476

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

6177 River Crest Dr
Ste A
Riverside, CA 92507
Phone (951) 653-4480

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": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1437424918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4570",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852614570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153439",
            "telephone_number": "602-285-0949",
            "fax_number": "602-285-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAINE",
        "first_name": "KORY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-15",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.