Active NPI
Cory Gersh, PT
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1932251196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 773
- Practice address
- 10000 N 31St Ave #A102
Phoenix, AZ 85051-9568 - Phone
- (602) 866-0066
- Fax
- (602) 866-3868
- NPI assigned
- Jan 17, 2007
- Last updated
- Mar 27, 2018
- 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 | 773 | AZ | Primary |
Addresses
Primary practice location
10000 N 31St Ave #A102
Phoenix, AZ 85051-9568
Mailing address
PO Box 5924
Carefree, AZ 85377-5924
Phone (480) 488-9092
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1932251196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5924",
"city": "CAREFREE",
"state": "AZ",
"postal_code": "853775924",
"telephone_number": "480-488-9092",
"fax_number": "602-866-3868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 N 31ST AVE #A102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850519568",
"telephone_number": "602-866-0066",
"fax_number": "602-866-3868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSH",
"first_name": "CORY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.