Individual provider Active NPI

Corey D Hughes, PT, DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1609367218
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1307776 Issued in TX
Practice address
6145 Wedgwood Dr
Fort Worth, TX 76133-2768
Phone
(817) 380-8077
Fax
(817) 841-1295
NPI assigned
May 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1307776 TX Primary

Addresses

Primary practice location

6145 Wedgwood Dr
Fort Worth, TX 76133-2768

Mailing address

6145 Wedgwood Dr
Fort Worth, TX 76133-2768
Phone (817) 380-8077

Other practice location 1

6049 S Hulen St Ste 113
Fort Worth, TX 76132-4815
Phone (817) 885-0668

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

LicenseStateTypeSpecialty
1307776TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1609367218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6145 WEDGWOOD DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761332768",
            "telephone_number": "817-380-8077",
            "fax_number": "817-841-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 WEDGWOOD DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761332768",
            "telephone_number": "817-380-8077",
            "fax_number": "817-841-1295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6049 S Hulen St Ste 113",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761324815",
            "country_code": "US",
            "telephone_number": "817-885-0668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "COREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1307776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.