Active NPI
Halsey Corbett, P.T.
- Physical Therapist
- Manteca, CA
National Provider Identifier
1639197825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6471
- Practice address
- 1191 E Yosemite Ave
Manteca, CA 95336-5011 - Phone
- (209) 824-9888
- Fax
- (209) 824-9469
- NPI assigned
- Jul 17, 2006
- 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 | PT6471 | CA | Primary |
Addresses
Primary practice location
1191 E Yosemite Ave
Manteca, CA 95336-5011
Mailing address
220 Standiford Ave
Ste F
Modesto, CA 95350-1159
Phone (209) 579-5628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00PT64710 | Other | CA | BLUE SHIELD |
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 |
|---|---|---|---|
| PT6471 | CA | MD | Physical Therapist |
| 6471 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motus Physical Therapy and Performance Inc | Physical Therapist | Current | Accepting new patients |
| County of Stanislaus | Current | Accepting new patients |
Locations
1191 E Yosemite Ave
Ste A
Manteca, CA 95336
Phone (209) 824-9469
220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500
Organizations & group practices 2
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.
-
- Clinic/Center
- Turlock, CA
- NPI 1831394998
-
- Physical Therapist
- Manteca, CA
- NPI 1801384680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639197825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 STANDIFORD AVE",
"address_2": "STE F",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501159",
"telephone_number": "209-579-5628",
"fax_number": "209-579-5637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1191 E YOSEMITE AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953365011",
"telephone_number": "209-824-9888",
"fax_number": "209-824-9469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "HALSEY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT6471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00PT64710",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.