Andrea Cordle, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P11528 Issued in NC

Practice address

Carolina Sports Clinic
985 Market Street Suite 201
Fort Mill, SC 29708-6443

Phone

(803) 547-9800

Fax

(803) 547-9804

NPI assigned

Dec 1, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fort Mill Spine and Sports Rehab, LLC

  • Chiropractor
  • Fort Mill, SC
  • NPI 1386434074

  Physical Therapist

  NPD

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1750788147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 MARKET ST STE 201",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086533",
            "telephone_number": "803-547-9800",
            "fax_number": "803-547-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAROLINA SPORTS CLINIC",
            "address_2": "985 MARKET STREET SUITE 201",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086443",
            "telephone_number": "803-547-9800",
            "fax_number": "803-547-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDLE",
        "first_name": "ANDREA",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2021-01-08",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11528",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-1748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer H Cook, PHARMD
• Adam H Cooper, D.C.
• Cora South Carolina LLC
• Ebonik Corbett, LMSW
• Grace Corbett
• Kyra H Cordle, SLP
• Core Dentistry LLC
• Core I Med LLC
• Core Physical Therapy LLC
• Kathryn Corn, PT, DPT

• Physical Therapist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.