Individual provider Active NPI

Cory Devore, PT

  • Physical Therapist
  • Delray Beach, FL
National Provider Identifier
1740865310
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36878 Issued in FL
Practice address
13550 S Jog Rd # 100
Delray Beach, FL 33446-3808
Phone
(561) 496-5144
Fax
(561) 496-5201
NPI assigned
Mar 15, 2021
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 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 PT36878 FL Primary

Addresses

Primary practice location

13550 S Jog Rd # 100
Delray Beach, FL 33446-3808

Mailing address

PO Box 8396
Delray Beach, FL 33482-8396
Phone (561) 496-5144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210330000909 FL Practitioner - Physical Therapist in Private Practice 5395152896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

120 E Redstone Ave
Suite B
Crestview, FL 32539-5370
Phone (850) 398-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36878FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Sep 30, 2024 Accepting new patients
North Florida Surgeons, PA CurrentSince Sep 30, 2024 Accepting new patients
One to One Physical Therapy, Inc. Physical Therapist PastSince Mar 21, 2021 Accepting new patients

Locations

120 E Redstone Ave
Ste B
Crestview, FL 32539
Phone (850) 398-8600

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

5750 Berryhill Rd
Milton, FL 32570
Phone (850) 433-6918

1040 Gulf Breeze Pkwy
Ste 200
Pensacola Beach, FL 32561
Phone (850) 916-8711

Interoperability endpoints

  • Direct secure messaging: cory.devore.1@9109.direct.athenahealth.com

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": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1740865310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8396",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334828396",
            "telephone_number": "561-496-5144",
            "fax_number": "561-496-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 S JOG RD # 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334463808",
            "telephone_number": "561-496-5144",
            "fax_number": "561-496-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVORE",
        "first_name": "CORY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.