Individual provider Active NPI

Cory Tatman, DPT

  • Physical Therapist
  • Cave Creek, AZ
National Provider Identifier
1689104317
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13071 Issued in AZ
Practice address
4730 E Lone Mountain Rd Ste 114
Cave Creek, AZ 85331-5539
Phone
(480) 272-7140
NPI assigned
Jun 15, 2017
Last updated
Jun 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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 13071 AZ Primary

Addresses

Primary practice location

4730 E Lone Mountain Rd Ste 114
Cave Creek, AZ 85331-5539

Mailing address

8375 E Via de Ventura Apt E206
Scottsdale, AZ 85258-3130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170707002883 AZ Practitioner - Physical Therapist in Private Practice 5890064752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Giardina Sportsmedicine Consultants IncGroup PAC ID 9931122942, 13 clinicians

Practice addresses (Care Compare)

8110 W Union Hills Dr
Suite 320
Glendale, AZ 85308-8181
Phone (623) 248-8830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13071AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Giardina Sportsmedicine Consultants, Inc. Physical Therapist CurrentSince Jun 14, 2017 Accepting new patients

Locations

4730 E Lone Mountain Rd
Ste 114
Cave Creek, AZ 85331
Phone (480) 272-7140

8110 W Union Hills Dr
Ste 320
Glendale, AZ 85308
Phone (480) 306-7242

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1689104317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8375 E VIA DE VENTURA APT E206",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 E LONE MOUNTAIN RD STE 114",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853315539",
            "telephone_number": "480-272-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATMAN",
        "first_name": "CORY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "13071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.