CORY SANDBERG – Physical Therapist, NPI 1043794548

CORY SANDBERG is a healthcare provider. based in Indianapolis, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 05012847A (IN). The NPI Number for CORY SANDBERG is 1043794548

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
CORY SANDBERG
NPI
1043794548
Phone
(262) 930-8463
Address
8111 S EMERSON AVE
Enumeration Date
20 September 2018
Last Update Date
7 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3176216740
Graduation Year
2016 (10 years ago)
PAC ID
1759753056
Group Practice PAC ID
1759416662
Professional Enrollment ID
I20230215000834
Address ID
IN460382856FI8890XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for CORY SANDBERG

  • 8111 S EMERSON AVE

    INDIANAPOLIS, IN 462372220

    Phone: (262) 930-8463

    Type: Mailing

  • 8111 S EMERSON AVENUE

    INDIANAPOLIS, IN 462371905

    Phone: (317) 528-8578

    Type: Location

  • 8111 S Emerson Avenue

    Indianapolis, IN 462371905

    Phone: (317) 528-8578

    Type: Location

  • 1755 Wittington Pl Ste 175

    Dallas, TX 752341905

    Phone: (866) 221-5405

    Type: Location

  • 2123, Ramada Drive, Carriage Hills, Mount Pleasant, Racine County, Wisconsin, 53406, United States

    MOUNT PLEASANT, WI 534062220

    Phone: (262) 930-8463

    Type: Mailing

  • Wittington Place, Farmers Branch, Dallas County, Texas, 75234:75235, United States

    DALLAS, TX 752341905

    Phone: (866) 221-5405

    Type: Location

  • 6626 E 75TH ST STE 500

    INDIANAPOLIS, IN 462502890

    Phone: (317) 621-7547

    Type: Mailing

  • 8890 E 116TH ST STE 130

    FISHERS, IN 460382856

    Phone: (317) 621-6740

    Type: Location

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: 2023-02-15

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
I20230215000834IPhysical Therapist In Private PracticeINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46237)

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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: 1759416662View full group profile

Reviews

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Frequently asked questions

How is CORY SANDBERG identified in CMS data?
CMS-hosted NPPES data lists CORY SANDBERG with NPI 1043794548.
Is CORY SANDBERG listed as active for patients and plans?
The listing shows CORY SANDBERG as active in the NPI system.
What is CORY SANDBERG's specialty?
The listing groups CORY SANDBERG with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does CORY SANDBERG list a practice location?
Patients near Indianapolis, Indiana may find CORY SANDBERG in results; validate coverage separately.
How many locations tie to this NPI?
8 practice locations appear in the available data.

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