Active NPI
Luis Rodolfo Cordon, MSPT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1790013803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008290
- Practice address
- 285 Boulevard NE Ste 610
Atlanta, GA 30312-4212 - Phone
- (404) 653-0039
- Fax
- (404) 653-0159
- NPI assigned
- Dec 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008290 | GA | Primary |
Addresses
Primary practice location
285 Boulevard NE Ste 610
Atlanta, GA 30312-4212
Mailing address
285 Boulevard NE Ste 610
Atlanta, GA 30312-4212
Phone (404) 653-0039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008290 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Medical Specialty Care Group LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurology Physician
- Decatur, GA
- NPI 1063663037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1790013803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 BOULEVARD NE STE 610",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303124212",
"telephone_number": "404-653-0039",
"fax_number": "404-653-0159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 BOULEVARD NE STE 610",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303124212",
"telephone_number": "404-653-0039",
"fax_number": "404-653-0159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDON",
"first_name": "LUIS",
"middle_name": "RODOLFO",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-01",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "008290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Morgan Elizabeth Corder, MSN, CRNP-AC
- Shelby G Corder, CPNP
- Cordero and Associates (ITTS For Children)
- Jose Fernando Cordero, MD, MPH
- Brittany Cordes, R.D., L.D.
- Edward E. Cordovado, D.C.
- Core Care Medical Transport, LLC (Core Care Medical Transport)
- Core Chiropractic Health Inc.
- Core Counseling Services LLC
- Core Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.