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COREY SAMUDOSKY PT, DPT
NPI 1386415172
Physical Therapist - Orthopedic in Decatur, TX

Active since January 11, 2024Accepts Medicare Assignment
609 MEDICAL CENTER DR BLDG 200, DECATUR, TX 76234(940) 626-1360 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corey Samudosky Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREY SAMUDOSKY PT, DPT (NPI 1386415172) is an individual orthopedic provider in Decatur, Texas, licensed in Texas (1373953) and active in the NPI registry since January 2024. He maintains a secondary practice location in Fort Worth and is a graduate of Other (2022).

NPPES Registry Identity

NPI1386415172
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameCOREY SAMUDOSKYCredential: PT, DPT
Location Address609 MEDICAL CENTER DR BLDG 200Decatur, TX 76234-3866
Mailing Address2951 Picadilly Ln Apt 826Denton, TX 76207-2084 · (412) 651-4379
Phone(940) 626-1360
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 11, 2024
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1386415172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in TX · 1373953
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical Therapist · SportsTaxonomy 2251S0007X · License 1373953 (TX)
609 MEDICAL CENTER DR BLDG 200, Decatur, TX 76234
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Secondary Practice Location 1

Location 16930 Harris Pkwy Ste 120Fort Worth, TX 76132-4272 · Phone (817) 885-0668 · Fax (817) 887-5875

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Corey Samudosky Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466890298
PECOS Enrollment IDI20240329000727

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUAN MANUEL ALVAREZ PTA
Physical Therapy Assistant
609 MEDICAL CENTER DR BLDG 200
DECATUR, TX 76234
Wise County (940) 626-1360
MRS. JENNIFER LYNNE WILLIAMS PTA, BS
Physical Therapy Assistant
609 MEDICAL CENTER DR BLDG 200
DECATUR, TX 76234
Wise County (940) 389-9222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Samudosky's NPI number?

The NPI number for Corey Samudosky is 1386415172. It was assigned to this individual provider in the NPPES registry on January 11, 2024.

Where is Corey Samudosky located?

Corey Samudosky practices at 609 Medical Center Dr Bldg 200, Decatur, TX 76234. The listed phone number is (940) 626-1360.

What is Corey Samudosky's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Corey Samudosky enrolled in Medicare?

Yes. Corey Samudosky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Corey Samudosky accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Corey Samudosky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Corey Samudosky was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.