Active NPI
Corey Edward Klein, PT, DPT
- Physical Therapist
- Stone Mountain, GA
National Provider Identifier
1497164305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011574
- Practice address
- 500 Springhouse Cir
Stone Mountain, GA 30087-6741 - Phone
- (678) 684-3870
- NPI assigned
- Aug 5, 2014
- 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 | PT011574 | GA | Primary |
Addresses
Primary practice location
500 Springhouse Cir
Stone Mountain, GA 30087-6741
Mailing address
185 Chaseland Rd
Atlanta, GA 30328-3105
Phone (404) 788-9127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 85.59
- Improvement activities
- 40
- Cost
- 69.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011574 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Georgia Physical Therapy & Sports Medicine Center | Physical Therapist | Current | Accepting new patients |
| Georgia Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
6495 Shiloh Rd
Ste 100
Alpharetta, GA 30005
Phone (770) 888-3011
260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870
21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Atlanta, GA
- NPI 1245826999
-
- Physical Therapist
- Alpharetta, GA
- NPI 1790898617
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922018423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1497164305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 CHASELAND RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303283105",
"telephone_number": "404-788-9127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SPRINGHOUSE CIR",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300876741",
"telephone_number": "678-684-3870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "COREY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-05",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.