NPIMap

Individual provider Active NPI

Corrie Sue Blackaby, PT, DPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1669422887
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5805 Issued in AZ
Practice address
15953 N Greenway Hayden Loop
Suite #a
Scottsdale, AZ 85260-1765
Phone
(480) 998-4848
Fax
(480) 998-2207
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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 5805 AZ Primary

Addresses

Primary practice location

15953 N Greenway Hayden Loop
Suite #a
Scottsdale, AZ 85260-1765

Mailing address

15953 N Greenway Hayden Loop
Suite #a
Scottsdale, AZ 85260-1765
Phone (480) 998-4848

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Physical Therapy Inc Physical Therapist PastSince Jun 1, 2002 Accepting new patients
Hosmer Physical Therapy Corp. Physical Therapist PastSince Jun 15, 2009 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1669422887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15953 N GREENWAY HAYDEN LOOP",
            "address_2": "SUITE #A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601765",
            "telephone_number": "480-998-4848",
            "fax_number": "480-998-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15953 N GREENWAY HAYDEN LOOP",
            "address_2": "SUITE #A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601765",
            "telephone_number": "480-998-4848",
            "fax_number": "480-998-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKABY",
        "first_name": "CORRIE",
        "middle_name": "SUE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.

Verify at the official NPI Registry.