CORY SYLLIAASEN (DPT) – Physical Therapist, NPI 1225085020

CORY SYLLIAASEN (DPT) is a healthcare provider. based in Wahoo, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1773 (NE). The NPI Number for CORY SYLLIAASEN (DPT) is 1225085020

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
CORY SYLLIAASEN (DPT)
NPI
1225085020
Phone
(402) 443-4555
Address
PO BOX 427
Enumeration Date
27 May 2006
Last Update Date
10 January 2014

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4028847483
Graduation Year
1998 (28 years ago)
PAC ID
9133013741
Group Practice PAC ID
0143374124
Professional Enrollment ID
I20040212000594
Address ID
NE681063459OM6307XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

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Provider Addresses for CORY SYLLIAASEN (DPT)

  • 427, Wahoo Road, Panama City Beach, Bay County, Florida, 32408, United States

    WAHOO, NE 680660427

    Phone: (402) 443-4555

    Fax: (402) 443-4554

    Type: Mailing

  • 559, West 15th Street, Wahoo, Saunders County, Nebraska, 68066, United States

    WAHOO, NE 680661280

    Phone: (402) 443-4555

    Fax: (402) 443-4554

    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: 2004-02-12

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
I20040212000594IPhysical Therapist In Private PracticeNETBD

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 68066)

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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: 0143374124View full group profile
NameSpecialtyState
-NE
-NE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
-NE
-NE
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

How is CORY SYLLIAASEN (DPT) identified in CMS data?
CMS-hosted NPPES data lists CORY SYLLIAASEN (DPT) with NPI 1225085020.
Can I rely on CORY SYLLIAASEN (DPT) being an active provider?
As of the registry snapshot, CORY SYLLIAASEN (DPT) is marked active.
What is CORY SYLLIAASEN (DPT)'s primary classification?
Physical Therapist is the headline specialty for CORY SYLLIAASEN (DPT) here. Clinical services aligned with this taxonomy classification.
What area does CORY SYLLIAASEN (DPT) serve?
CORY SYLLIAASEN (DPT)'s listing highlights Wahoo, Nebraska; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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