Individual provider Active NPI

Cory Peterson, P.T., D.P.T.

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1740689561
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1248191 Issued in TX
Practice address
13915 Burnet Rd Ste 103
Austin, TX 78728-6518
Phone
(512) 710-6516
Fax
(512) 354-4068
NPI assigned
Aug 18, 2014
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 1248191 TX Primary

Addresses

Primary practice location

13915 Burnet Rd Ste 103
Austin, TX 78728-6518

Mailing address

13915 Burnet Rd Ste 103
Austin, TX 78728-6518
Phone (512) 710-6516

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141203000218 TX Practitioner - Physical Therapist in Private Practice 3678895612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outcomes Therapy OpsGroup PAC ID 2466781430, 14 clinicians
Outcomes Wound Therapy LLCGroup PAC ID 7113428509, 2 clinicians

Practice addresses (Care Compare)

13915 Burnet Rd
Suite 103
Austin, TX 78728-6518
Phone (512) 710-6516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1248191TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Outcomes Wound Therapy PLLC CurrentSince Aug 22, 2025 Accepting new patients
Outcomes Therapy Ops Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients
Sarol Ventures LLC Physical Therapist PastSince Mar 27, 2022 Accepting new patients

Locations

13915 Burnet Rd
Ste 103
Austin, TX 78728
Phone (512) 710-6516

9430 Research Blvd
Ste 2350
Austin, TX 78759
Phone (512) 559-3996

6333 De Zavala Rd
Ste 117
San Antonio, TX 78249

6333 De Zavala Rd
Ste 117118
San Antonio, TX 78249
Phone (512) 710-6516

Organizations & group practices 3

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": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1740689561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13915 BURNET RD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787286518",
            "telephone_number": "512-710-6516",
            "fax_number": "512-355-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13915 BURNET RD STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787286518",
            "telephone_number": "512-710-6516",
            "fax_number": "512-354-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CORY",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-18",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1248191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.