Individual provider Active NPI

Corey Todd, DPT

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1699393017
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12851 Issued in TN
Practice address
656 Marshall Ave
Memphis, TN 38103-3315
Phone
(901) 545-2225
Fax
(901) 881-1873
NPI assigned
Jul 13, 2020
Last updated
Jul 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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 12851 TN Primary

Addresses

Primary practice location

656 Marshall Ave
Memphis, TN 38103-3315

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240716000689 WY Practitioner - Physical Therapist in Private Practice 0244654424 Reassigns benefits to 1 organization
I20251015004518 CO Practitioner - Physical Therapist in Private Practice 0244654424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salida Hospital DistrictGroup PAC ID 3577451152, shared by 9 NPIs, 100 clinicians

Practice addresses (Care Compare)

704 Edwards Ave
Westcliffe, CO 81252-8588
Phone (719) 530-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12851TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Salida Hospital District CurrentSince Nov 17, 2025 Accepting new patients
Salida Hospital District CurrentSince Sep 9, 2025 Accepting new patients
William H and Carrie Gottsche Foundation CurrentSince Aug 1, 2024 Accepting new patients
William H. and Carrie Gottsche Foundation Current Accepting new patients
Salida Hospital District CurrentSince Sep 9, 2025 Accepting new patients
Salida Hospital District Current Accepting new patients
Holistic Pain Management of Wyoming, LLC PastSince Aug 1, 2024 Accepting new patients

Locations

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

704 Edwards Ave
Westcliffe, CO 81252
Phone (719) 545-1607

1125 Charles Ave
Worland, WY 82401
Phone (307) 347-2449

Organizations & group practices 7

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1699393017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 MARSHALL AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033315",
            "telephone_number": "901-545-2225",
            "fax_number": "901-881-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "COREY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.