Active NPI
Scott Michael Corley, PT
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1609142991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11580
- Practice address
- 175 S Union Blvd
Suite 320
Colorado Springs, CO 80910-3113 - Phone
- (719) 365-1585
- NPI assigned
- Mar 30, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11580 | CO | Primary |
| Physical Therapist | 225100000X | 25852 | FL |
Addresses
Primary practice location
175 S Union Blvd
Suite 320
Colorado Springs, CO 80910-3113
Mailing address
8164 SE Croft Cir
B5
Hobe Sound, FL 33455-6340
Phone (863) 944-1208
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11580 | CO | MD | Physical Therapist |
| 25852 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concepts in Rehab Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Fort Myers, FL
- NPI 1558458273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333065600000",
"number": "1609142991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8164 SE CROFT CIR",
"address_2": "B5",
"city": "HOBE SOUND",
"state": "FL",
"postal_code": "334556340",
"telephone_number": "863-944-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 S UNION BLVD",
"address_2": "SUITE 320",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103113",
"telephone_number": "719-365-1585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLEY",
"first_name": "SCOTT",
"middle_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-30",
"last_updated": "2012-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "11580",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "25852",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.