COREY SOUTHERS (PT, DPT) – Physical Therapist, NPI 1386956449

COREY SOUTHERS (PT, DPT) is a healthcare provider. based in Columbus, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 013384 (OH). The NPI Number for COREY SOUTHERS (PT, DPT) is 1386956449

Main info

Male
16 Years Of Experience
Name
COREY SOUTHERS (PT, DPT)
NPI
1386956449
Phone
(815) 901-1198
Address
80 NORTHRIDGE RD
Enumeration Date
6 July 2010
Last Update Date
2 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159011198
Graduation Year
2010 (16 years ago)
PAC ID
7719011998
Group Practice PAC ID
6406366236
Professional Enrollment ID
I20250610003061
Address ID
OH432143248CO4041XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for COREY SOUTHERS (PT, DPT)

  • 80 NORTHRIDGE RD

    COLUMBUS, OH 432143324

    Phone: (815) 901-1198

    Type: Mailing

  • 4041 N HIGH ST STE 100A

    COLUMBUS, OH 432143248

    Phone: (815) 901-1198

    Type: Location

  • 2831 NEW HARTFORD RD

    OWENSBORO, KY 423031320

    Phone: (270) 926-4100

    Fax: (270) 684-4678

    Type: Mailing

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: 2025-06-10

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
I20250610003061IPhysical Therapist In Private PracticeOHTBD

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 43214)

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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: 6406366236View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What is COREY SOUTHERS (PT, DPT)'s NPI number?
COREY SOUTHERS (PT, DPT)'s NPI is 1386956449 — the number used across U.S. healthcare to identify this provider.
Is COREY SOUTHERS (PT, DPT) still an active registrant?
COREY SOUTHERS (PT, DPT) carries an active NPI according to the public dataset.
How would a patient describe COREY SOUTHERS (PT, DPT)'s focus?
For COREY SOUTHERS (PT, DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with COREY SOUTHERS (PT, DPT)?
Directory geography for COREY SOUTHERS (PT, DPT) centers on Columbus, Ohio.
Can I trust this NPI listing for COREY SOUTHERS (PT, DPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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