Active NPI
Cory Lynn Marcoux, PT, DPT
- Physical Therapist
- Cornish, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4623
- Practice address
- 16 Old Pike Rd
Cornish, ME 04020-3506 - Phone
- (207) 625-4300
- NPI assigned
- Jun 20, 2016
- Last updated
- Jun 20, 2016
- Sex
- Female
- 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 | PT4623 | ME | Primary |
Addresses
Primary practice location
16 Old Pike Rd
Cornish, ME 04020-3506
Mailing address
902A River Rd
Buxton, ME 04093-3955
Phone (508) 331-9614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of New England, College of Osteo Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Piper Rd
Scarborough, ME 04074-7575
Phone (207) 762-9255
169 Port Rd
Suite 21
Kennebunk, ME 04043-7754
Phone (207) 204-0679
23 Durham Rd
Suite 101
Freeport, ME 04032-6796
Phone (207) 725-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4623 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reform Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Foothills Physical Therapy, PA | Physical Therapist | Current | Accepting new patients |
| Rivertree Osteopathic Health PC | Past | Accepting new patients |
Locations
190 Pleasant St
Brunswick, ME 04011
16 Old Pike Rd
Cornish, ME 04020
Phone (207) 625-4300
23 Durham Rd
Ste 101
Freeport, ME 04032
Phone (207) 725-4400
169 Port Rd
Ste 1
Kennebunk, ME 04043
Phone (207) 204-0679
Organizations & group practices 6
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
- Scarborough, ME
- NPI 1861131377
-
- Physical Therapist
- Yarmouth, ME
- NPI 1487028775
-
- Physical Therapist
- Cornish, ME
- NPI 1902906399
-
- Physical Therapist
- Waterboro, ME
- NPI 1316983257
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
-
dba Freeport Osteopathic Health
- Neuromusculoskeletal Medicine & OMM Physician
- Topsham, ME
- NPI 1093002438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1972953933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902A RIVER RD",
"city": "BUXTON",
"state": "ME",
"postal_code": "040933955",
"telephone_number": "508-331-9614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 OLD PIKE RD",
"city": "CORNISH",
"state": "ME",
"postal_code": "040203506",
"telephone_number": "207-625-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCOUX",
"first_name": "CORY",
"middle_name": "LYNN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT4623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornish, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.