Individual provider Active NPI

Corene Drake, PT, DPT

  • Physical Therapist
  • Garland, TX
National Provider Identifier
1689254765
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1286467 Issued in TX
Practice address
7217 Telecom Pkwy
Garland, TX 75044-2202
Phone
(972) 495-6986
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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 1286467 TX Primary

Addresses

Primary practice location

7217 Telecom Pkwy
Garland, TX 75044-2202

Mailing address

1004 Brookview Dr
Allen, TX 75002-2323
Phone (832) 704-7928

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmdrake@bswrehab.com Direct Baylor Scott & White

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1286467TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1689254765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 BROOKVIEW DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022323",
            "telephone_number": "832-704-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 TELECOM PKWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442202",
            "telephone_number": "972-495-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "CORENE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1286467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmdrake@bswrehab.com",
            "affiliation": "Y",
            "endpointDescription": "cmdrake@bswrehab.com",
            "affiliationName": "Baylor Scott & White",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7217 Telecom Pkwy",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750442202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.