DR. CORY PETERSON (NPI# 1740689561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740689561 |
| Entity Type | Individual |
| Full Name | DR. CORY PETERSON |
| Credential | P.T., D.P.T. |
| Practice Address |
1700 E Palm Valley Blvd Suite 395 Round Rock TX 78664-4677 |
| Mailing Address |
9430 Research Blvd Ste 2-350 Austin TX 78759-6586 |
| Practice Telephone | 5123544067 |
| Practice Fax Number | 5123544068 |
| Mailing Telephone | 5127106516 |
| Mailing Fax Number | 5123551966 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2020-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1248191 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831636612 | Cory Peterson | Chiropractor | 3942 Se Hawthorne Blvd, Portland, OR 97214-5242 | 2017-01-31 |
| 1699049627 | Cory Peterson | Dentist | 701 25th Ave S Ste 400, Minneapolis, MN 55454-1443 | 2012-03-08 |
| Street Address |
1700 E PALM VALLEY BLVD SUITE 395 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-4677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972612943 | H-e-b, Lp | Clinical Medical Laboratory | 1700 E Palm Valley Blvd, Round Rock, TX 78664 | 2006-08-30 |
| 1265927412 | Mandy Beth Cameron | Nurse Practitioner | 1700 E Palm Valley Blvd, Round Rock, TX 78664-4677 | 2018-06-28 |
| 1992200729 | Melissa Lewis | Physician Assistant | 1700 E Palm Valley Blvd, Round Rock, TX 78664-4677 | 2018-03-25 |
| 1215329081 | Anne Marie Cope | Physical Therapist | 1700 E Palm Valley Blvd, Ste 395, Round Rock, TX 78664-4677 | 2015-03-03 |
| 1437595105 | Krithiga Sadasivan | Pharmacist | 1700 E Palm Valley Blvd, Heb Pharmacy, Round Rock, TX 78664-4677 | 2013-05-21 |
| 1972844850 | M'liss Dawn Nelsen | Pharmacist | 1700 E Palm Valley Blvd, Round Rock, TX 78664-4677 | 2013-03-02 |
| 1487906020 | Texas Physical Therapy Specialists | Clinic/Center | 1700 E Palm Valley Blvd, Suite 395, Round Rock, TX 78664-4683 | 2012-10-05 |
| 1427377472 | Kim Nguyen | Pharmacist | 1700 E Palm Valley Blvd, Round Rock, TX 78664-4677 | 2010-05-28 |
| 1194992610 | Carolina Campos | Pharmacist | 1700 E Palm Valley Blvd, Round Rock, TX 78664-4677 | 2008-05-14 |
| 1124210695 | Tammie M Howard | Nurse Practitioner | 1700 E Palm Valley Blvd, Round Rock, TX 78664-4677 | 2007-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161220 | Clarice Yae-eun Kim | Physical Therapist | 300 S Aw Grimes Blvd Apt 2304, Round Rock, TX 78664-7804 | 2020-10-14 |
| 1831734037 | Ruchika Chugh | Physical Therapist | 901 Hidden Valley Dr Apt 11105, Round Rock, TX 78665-1494 | 2019-11-12 |
| 1912548561 | Nymphaea Makroo | Physical Therapist | 418 Cascada Ln, Round Rock, TX 78681-1784 | 2019-10-04 |
| 1174179949 | Mackenzie Steiner | Physical Therapist | 2250 E Palm Valley Blvd Ste 20, Round Rock, TX 78665-4533 | 2019-08-16 |
| 1366907040 | Cambria Carson | Physical Therapist | 117b Louis Henna Blvd, Round Rock, TX 78664-7307 | 2019-02-06 |
| 1225521503 | Alexa Ann Ducharme | Physical Therapist | 2120 N Mays St Ste 100, Round Rock, TX 78664-2107 | 2018-06-11 |
| 1144712332 | Elizabeth Marie Levins | Physical Therapist | 301 Hesters Crossing Rd Ste 160, Round Rock, TX 78681-6914 | 2018-06-04 |
| 1174036073 | Douglas Carleton King | Physical Therapist | 116 Sundance Pkwy, Round Rock, TX 78681-7942 | 2017-11-14 |
| 1588117535 | Scott Mccool-solis | Physical Therapist | 455 University Blvd, Suite 400, Round Rock, TX 78665-1075 | 2016-07-26 |
| 1831559905 | Spine and Sports Physical Therapy | Physical Therapist | 1737 Westend Pl, Round Rock, TX 78681-2252 | 2016-03-02 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.