Active NPI
Cory Sutton, PTA
- Physical Therapy Assistant
- Sweetwater, TN
National Provider Identifier
1801369558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA0000005064
- Practice address
- 304 Church St
Sweetwater, TN 37874-2823 - Phone
- (865) 213-8568
- NPI assigned
- Jan 5, 2019
- 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 Therapy Assistant | 225200000X | PTA0000005064 | TN | Primary |
Addresses
Primary practice location
304 Church St
Sweetwater, TN 37874-2823
Mailing address
215 McCaslin Ave
Sweetwater, TN 37874-1832
Phone (423) 836-5140
Other practice location 1
520 Old Highway 68
Sweetwater, TN 37874-6258
Phone (423) 351-1050
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA0000005064 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546646400000",
"number": "1801369558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 MCCASLIN AVE",
"city": "SWEETWATER",
"state": "TN",
"postal_code": "378741832",
"telephone_number": "423-836-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 CHURCH ST",
"city": "SWEETWATER",
"state": "TN",
"postal_code": "378742823",
"telephone_number": "865-213-8568"
}
],
"practiceLocations": [
{
"address_1": "520 Old Highway 68",
"address_purpose": "LOCATION",
"city": "Sweetwater",
"state": "TN",
"postal_code": "378746258",
"country_code": "US",
"telephone_number": "423-351-1050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTTON",
"first_name": "CORY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-05",
"last_updated": "2019-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "PTA0000005064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sweetwater, TN
- Christopher S Shamblin, MD
- Sarah Sneed, OTR/L
- Southern Galz Non Emergency Medical Transportation
- Tarah Michelle Standridge, PHARM D
- Surgical Services P.C.
- Jonathan Seth Swainson, PHARM.D.
- Sweetwater Anesthesia LLC
- Sweetwater Chiropractic LLC
- Sweetwater Endodontics PLLC
- Sweetwater Family Dental, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.