Individual provider Active NPI

Corey Antonio Burney, DPT

  • Physical Therapist
  • Lake Worth, TX
National Provider Identifier
1811488950
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1306990 Issued in TX
Practice address
6116 Lake Worth Blvd Ste 100
Lake Worth, TX 76135-3707
Phone
(817) 984-3260
Fax
(817) 420-6029
NPI assigned
May 24, 2018
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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 1306990 TX Primary

Addresses

Primary practice location

6116 Lake Worth Blvd Ste 100
Lake Worth, TX 76135-3707

Mailing address

3824 S Carrier Pkwy Ste 490
Grand Prairie, TX 75052-6668
Phone (817) 984-3260

Other practice location 1

1424 Airport Fwy Ste U
Bedford, TX 76022-6783
Phone (817) 858-0390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220511000652 TX Practitioner - Physical Therapist in Private Practice 1850778952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

350 Mercedes St
Benbrook, TX 76126-2593
Phone (817) 717-5390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist CurrentSince May 2, 2022 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist Current Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist CurrentSince May 2, 2022 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Past Accepting new patients

Locations

1424 Airport Fwy
Ste U
Bedford, TX 76022
Phone (817) 585-0390

350 Mercedes St
Benbrook, TX 76126
Phone (817) 335-7946

2710 N Josey Ln
Ste 301
Carrollton, TX 75007
Phone (214) 483-3550

3824 S Carrier Pkwy
Ste 490
Grand Prairie, TX 75052
Phone (972) 262-9972

6116 Lake Worth Blvd
Ste 100
Lake Worth, TX 76135
Phone (817) 984-3260

Organizations & group practices 4

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1811488950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 S CARRIER PKWY STE 490",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526668",
            "telephone_number": "817-984-3260",
            "fax_number": "817-420-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 LAKE WORTH BLVD STE 100",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761353707",
            "telephone_number": "817-984-3260",
            "fax_number": "817-420-6029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1424 Airport Fwy Ste U",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760226783",
            "country_code": "US",
            "telephone_number": "817-858-0390",
            "fax_number": "817-858-0842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNEY",
        "first_name": "COREY",
        "middle_name": "ANTONIO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1306990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.