Active NPI
Cory Michael Sebert, PT
- Physical Therapist
- Fort Collins, CO
National Provider Identifier
1467614180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9543
- Practice address
- 815 Centre Ave
Fort Collins, CO 80526-1844 - Phone
- (303) 330-2595
- NPI assigned
- Jun 25, 2008
- 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 | 9543 | CO | Primary |
Addresses
Primary practice location
815 Centre Ave
Fort Collins, CO 80526-1844
Mailing address
307 E Plum St
Fort Collins, CO 80524-3328
Phone (303) 330-2595
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9543 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1467614180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 E PLUM ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243328",
"telephone_number": "303-330-2595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 CENTRE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805261844",
"telephone_number": "303-330-2595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBERT",
"first_name": "CORY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-25",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "9543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.