COREY STEPHEN MCLEOD (PT, DPT) – Physical Therapist, NPI 1174238158

COREY STEPHEN MCLEOD (PT, DPT) is a healthcare provider. based in Honolulu, Hawaii. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT-5623-0 (HI). The NPI Number for COREY STEPHEN MCLEOD (PT, DPT) is 1174238158

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
COREY STEPHEN MCLEOD (PT, DPT)
NPI
1174238158
Phone
(808) 373-3555
Address
5722 KALANIANAOLE HWY
Enumeration Date
13 January 2023
Last Update Date
17 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8086809123
Graduation Year
2022 (4 years ago)
PAC ID
2769854942
Group Practice PAC ID
6406747351
Professional Enrollment ID
I20230216001552
Address ID
HI967973149WA94801HWYX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

615 PHYSICAL THERAPIST IN PRIVATE PRACTICE in HI

Provider Addresses for COREY STEPHEN MCLEOD (PT, DPT)

  • 5722 KALANIANAOLE HWY

    HONOLULU, HI 968212388

    Phone: (808) 373-3555

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230216001552IPhysical Therapist In Private PracticeHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes16416$0
97530Therapy procedure using functional activities14716$0
View full utilization report →

Insurance plans in this area (ZIP 96821)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406747351View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeHI
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeHI

Reviews

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Frequently asked questions

Is there an official ID for COREY STEPHEN MCLEOD (PT, DPT) in U.S. healthcare records?
The official identifier for COREY STEPHEN MCLEOD (PT, DPT) is NPI 1174238158.
Is there an active status for COREY STEPHEN MCLEOD (PT, DPT)?
For scheduling context, COREY STEPHEN MCLEOD (PT, DPT) is shown as active in the registry.
What kind of doctor is COREY STEPHEN MCLEOD (PT, DPT)?
COREY STEPHEN MCLEOD (PT, DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is COREY STEPHEN MCLEOD (PT, DPT) located near Honolulu?
COREY STEPHEN MCLEOD (PT, DPT) currently maps to Honolulu, Hawaii in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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