Active NPI
Cory Muncill
- Physical Therapist
- North Augusta, SC
National Provider Identifier
1871103374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1225 Knox Ave
North Augusta, SC 29841-4022 - Phone
- (843) 800-8245
- NPI assigned
- Aug 9, 2020
- Last updated
- Aug 9, 2020
- 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 | NU | Primary |
Addresses
Primary practice location
1225 Knox Ave
North Augusta, SC 29841-4022
Mailing address
905 Huntington Dr
Augusta, GA 30909-4588
Phone (770) 710-5692
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 |
|---|---|---|---|
| 10379 | SC | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Solutions of Acworth, LLC | Physical Therapist | 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.
-
- Physical Therapist
- Watkinsville, GA
- NPI 1679025167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596931200000",
"number": "1871103374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 HUNTINGTON DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309094588",
"telephone_number": "770-710-5692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 KNOX AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298414022",
"telephone_number": "843-800-8245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNCILL",
"first_name": "CORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-09",
"last_updated": "2020-08-09",
"certification_date": "2020-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.