Active NPIIndividual providerSole proprietor

Corey Tulley

Physical Therapist in Port Saint Lucie, Florida

NPI Number1023614310
Practice location
1655 SE Walton RD, Port Saint Lucie, FL 34952-7657
Fax
—
Last updated
October 7, 2025

Corey Tulley is a Physical Therapist based in Port Saint Lucie, FL. Corey Tulley practices in Port Saint Lucie, FL. The NPI Number for Corey Tulley is 1023614310 and holds a License No. 39963 (FL). The current practice location address for Corey Tulley is 1655 SE Walton RD, Port Saint Lucie, FL 34952-7657 and can be reached out via phone at 772-337-1333.

Provider Profile Details

NPI Number
1023614310
Provider Name
Corey Tulley
Provider Entity Type
Individual
Gender
Male
Address
1655 SE Walton RD, Port Saint Lucie, FL 34952-7657
Phone Number
772-337-1333
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
December 10, 2020
Last Update Date
October 7, 2025
Certification Date
October 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1655 SE Walton RD
Port Saint Lucie, FL 34952-7657
State
Florida
Zip
34952-7657
Phone Number
772-337-1333
Port Saint Lucie, FL 34952Get directions →

Provider Business Mailing Address Details

Address
53 Brigham Ave
Dracut, MA 01826-5713
City
Dracut
State
MA
Zip
01826-5713

License Information

License Number (1)
39963
License State (1)
FL
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
23261
License State (2)
MA
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Corey Tulley?

The NPI number of Corey Tulley is 1023614310. It was assigned on December 10, 2020 and is currently active in the NPPES registry.

What is the specialty of Corey Tulley?

Corey Tulley is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in FL under license number 39963.

Where does Corey Tulley practice?

The practice location is 1655 SE Walton RD, Port Saint Lucie, FL 34952-7657. The office can be reached at 772-337-1333 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023614310 directly on the NPPES registry website.

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