MR. BRENT HENRY CORDERY (DPT) – Physical Therapist, NPI 1669597555

MR. BRENT HENRY CORDERY (DPT) is a healthcare provider. based in Elkhorn, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2429 (NE). The NPI Number for MR. BRENT HENRY CORDERY (DPT) is 1669597555

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRENT HENRY CORDERY (DPT)
NPI
1669597555
Phone
(402) 350-1131
Address
260 S 199TH ST
Enumeration Date
20 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4029348688
Graduation Year
2002 (24 years ago)
PAC ID
9335155589
Group Practice PAC ID
3072613421
Professional Enrollment ID
I20070713000507
Address ID
NE681541935OM625XXAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

Provider Addresses for MR. BRENT HENRY CORDERY (DPT)

  • 260, South 199th Street, Elk Valley, Omaha, Douglas County, Nebraska, 68022, United States

    ELKHORN, NE 680224865

    Phone: (402) 350-1131

    Type: Mailing

  • 625 N 144TH ST SUITE #1

    OMAHA, NE 68154

    Phone: (402) 350-1131

    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: 2007-07-13

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
I20070713000507IPhysical 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.

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 minutes1,14984$0
97530Therapy procedure using functional activities43059$0
97161Evaluation for physical therapy, typically 20 minutes4140$0
View full utilization report →

Insurance plans in this area (ZIP 68022)

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Provider's Procedures

MR. BRENT HENRY CORDERY (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYNE97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes77644

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: 3072613421View full group profile
NameSpecialtyState
-NE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

What number should I use to identify MR. BRENT HENRY CORDERY (DPT) for billing?
Administrative and clinical systems typically use NPI 1669597555 for MR. BRENT HENRY CORDERY (DPT).
Should I treat MR. BRENT HENRY CORDERY (DPT) as an active provider?
Patients and plans typically see MR. BRENT HENRY CORDERY (DPT) as active in the national extract.
How should patients interpret MR. BRENT HENRY CORDERY (DPT)'s specialty?
The extract shows Physical Therapist for MR. BRENT HENRY CORDERY (DPT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. BRENT HENRY CORDERY (DPT)?
MR. BRENT HENRY CORDERY (DPT) is associated with Elkhorn, Nebraska in the same public data insurers reference.
Can I export MR. BRENT HENRY CORDERY (DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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