Active NPI
Cory Hegedus, PT
- Orthopedic Physical Therapist
- St. Petersburg, FL
National Provider Identifier
1972388304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT40689
- Practice address
- 3301 32ND Ave S
Appt 364
St. Petersburg, FL 33712 - Phone
- (412) 596-2829
- NPI assigned
- Aug 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT40689 | FL | Primary |
Addresses
Primary practice location
3301 32ND Ave S
Appt 364
St. Petersburg, FL 33712
Mailing address
5901 Sun Blvd Ste 110
St Petersburg, FL 33715-1165
Phone (412) 596-2829
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 |
|---|---|---|---|
| PT40689 | FL | MD | Orthopedic Physical Therapist |
Networks
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1972388304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 SUN BLVD STE 110",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337151165",
"telephone_number": "412-596-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 32ND AVE S",
"address_2": "APPT 364",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "33712",
"telephone_number": "412-596-2829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGEDUS",
"first_name": "CORY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT40689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.