Individual provider Active NPI

Corey Caudle, DPT

  • Physical Therapist
  • Murfreesboro, TN
National Provider Identifier
1679029177
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13929 Issued in TN
Practice address
3053 Medical Center Pkwy
Murfreesboro, TN 37129-4185
Phone
(615) 848-6401
Fax
(615) 907-6315
NPI assigned
Aug 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TN
Athletic Trainer 2255A2300X 2000028823 SC
Student in an Organized Health Care Education/Training Program 390200000X
Physical Therapist 225100000X 13929 TN Primary

Addresses

Primary practice location

3053 Medical Center Pkwy
Murfreesboro, TN 37129-4185

Mailing address

3053 Medical Center Pkwy
Murfreesboro, TN 37129-4185
Phone (615) 848-6401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220107002002 TN Practitioner - Physical Therapist in Private Practice 1153713854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Florida College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristar Joint Replacement Institute LLCGroup PAC ID 1658693015, 36 clinicians

Practice addresses (Care Compare)

3053 Medical Ctr Pkwy
Suite F
Murfreesboro, TN 37129-4186
Phone (615) 342-0038

Merit-based Incentive Payment System (MIPS)

Final score
89.74 of 100Reported as group
Quality
80.25
Promoting interoperability
100
Improvement activities
40
Cost
85.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000028823SCMDAthletic Trainer
13929TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tristar Joint Replacement Institute, LLC CurrentSince Jul 26, 2023 Accepting new patients
Ivyrehab Focus, Inc. Past Accepting new patients
Southern Sports Medicine and Orthopaedic Center, P.C. PastSince Jul 26, 2023 Accepting new patients
Ivyrehab Focus, Inc. Physical Therapist PastSince Mar 1, 2009 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3053 Medical Center Pkwy
Ste F
Murfreesboro, TN 37129

2400 Patterson St
Ste 100
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: corey.caudle@hca1.eclinicaldirectplus.com

Organizations & group practices 4

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1679029177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 MEDICAL CENTER PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294185",
            "telephone_number": "615-848-6401",
            "fax_number": "615-907-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 MEDICAL CENTER PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294185",
            "telephone_number": "615-848-6401",
            "fax_number": "615-907-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDLE",
        "first_name": "COREY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "2000028823",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.