Cory William Center

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.0015311 Issued in CO

Practice address

4670 Table Mountain Dr
Golden, CO 80403-1602

Phone

(303) 279-6000

NPI assigned

Jan 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Next Level Physical Therapy PC

  • Physical Therapist
  • Golden, CO
  • NPI 1063625937
  NPD
• Next Level Physical Therapy PC

  • Physical Therapist
  • Golden, CO
  • NPI 1932297546
  NPD (past)

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1760198592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 TABLE MOUNTAIN DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 TABLE MOUNTAIN DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031602",
            "telephone_number": "303-279-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTER",
        "first_name": "CORY",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0015311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado
• Centennial State Lab, LLC
• Center for Cosmetic Surgery PC
• Cerviom LLC
• Mary M. Ceynowa, LPC, LP
• Chad Hartley MD Pllcc
• Brooke Nicole Chamberlain, DMD
• Cherestina Chamoun, DDS

• All providers in Golden, CO
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.