Gabriel Shelton Corder, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26509 Issued in MD

Practice address

710 S Ann St FL 2
Baltimore, MD 21231-3401

Phone

(410) 989-3833

NPI assigned

Jun 5, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• True Sports Physical Therapy 2, LLC

  • Physical Therapy Clinic/Center
  • Woodbine, MD
  • NPI 1023539178
  NPD (past)

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1578092532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 TIMBERFIELD LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212084425",
            "telephone_number": "410-989-3833",
            "fax_number": "410-946-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S ANN ST FL 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313401",
            "telephone_number": "410-989-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDER",
        "first_name": "GABRIEL",
        "middle_name": "SHELTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "26509",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Corcoran
• Jennifer J Corcoran, M.S. CCC-SLP
• Jennifer L Corcoran, LGSW
• Michael J Corcoran, M.D.
• Samuel Cordeiro
• Sara Corderman, MD
• Catherine A Cordero-Parrish, MD
• Melissa Cordish
• Zachary A. Cordner, MD-PHD
• Core and More Physical Therapy, LLC

• Physical Therapist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.