Cory Randall Arnold, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016774 Issued in MI

Practice address

12150 30 Mile Rd Ste 102
Washington, MI 48095-2035

Phone

(586) 336-2480

Fax

(586) 336-2480

NPI assigned

Jun 12, 2014

Last updated

Apr 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carnold365059@direct.hfhs.org

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.

• DPT Holdings, LLC

  dba Doctors of Physical Therapy

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  NPD

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1538573142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 30 MILE RD STE 102",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952035",
            "telephone_number": "586-336-2480",
            "fax_number": "586-336-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 30 MILE RD STE 102",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480952035",
            "telephone_number": "586-336-2480",
            "fax_number": "586-336-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "CORY",
        "middle_name": "RANDALL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carnold365059@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "12150 30 Mile Rd Ste 102",
            "city": "Washington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480952035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Adkins
• Advanced Vision Centers LTD
• Alternative Solutions Counseling LLC
• Kathleen D Ambrose, NP
• Robin Erin Ance, MA, LPC
• Atlas Physical Therapy Inc (Atlas Physical Therapy)
• Aivan Augustin
• Avianna & Adrianna
• Scott Babinski, DPT
• Sabrina Lucia Badalamenti, MPT

• Physical Therapist in Washington, MI
• Providers in Washington, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.