Individual provider Active NPI

Cory Hegedus, PT

  • Orthopedic Physical Therapist
  • St. Petersburg, FL
National Provider Identifier
1972388304
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT40689 Issued in FL
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

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT40689FLMDOrthopedic 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.

Verify at the official NPI Registry.