Matthew Corn, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21464 Issued in FL

Practice address

1978 Tamiami TRL S
Suites 5 & 6
Venice, FL 34293-5006

Phone

(941) 451-6607

Fax

(941) 451-2028

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90 of 100Reported as individual

Quality

80

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• 65 Plus LLC

  • Geriatric Physical Therapist
  • Venice, FL
  • NPI 1205292489
  Medicare reassignment NPD Authorized official
• Creative Wellness LLC

  • Specialist
  • Jupiter, FL
  • NPI 1871546895
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1922051945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 WHISPERING LN",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342856449",
            "telephone_number": "941-451-6607",
            "fax_number": "941-451-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 TAMIAMI TRL S",
            "address_2": "SUITES 5 & 6",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935006",
            "telephone_number": "941-451-6607",
            "fax_number": "941-451-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORN",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "21464",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "PT21464",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00226835",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "Y915K",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Connell, A.P.
• Sarah Elizabeth Connours, LMT
• Contemporary Hearing
• Amber Kristina Copeland, OT
• William Jeffrey Corin, M.D.F.A.C.C.
• Nancy J Cornell
• Nicole Cornell
• Cornerstone Psychiatric Services Inc
• Christopher Michael Cortman, PSY.D.
• Alicia Brooke Cossentino, L.M.T

• Physical Therapist in Venice, FL
• Providers in Venice, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.