Cory Alexander Stattelman, DPT is a medicare enrolled "Physical Therapist" physician in Grants Pass, Oregon. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Benchmark Physical Therapy Of Oregon Llc, Foothills Sports Medicine And Rehabilitation Llc and his current practice location is
2160 Nw Vine St, Grants Pass, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 479-4916.
Cory Alexander Stattelman is licensed to practice in Oregon (license number 66044) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457966293.
Physician's Profile
| Full Name | Cory Alexander Stattelman |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 6 Years |
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| Location | 2160 Nw Vine St, Grants Pass, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Cory Alexander Stattelman graduated from medical school in 2020
NPI Data:
- NPI Number: 1457966293
- Provider Enumeration Date: 09/09/2020
- Last Update Date: 04/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 3476971896
- Enrollment ID: I20260504005073
Medical Identifiers
Medical identifiers for Cory Alexander Stattelman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457966293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 4384 (Nevada) | Secondary |
| 225100000X | Physical Therapist | 66044 (Oregon) | Primary |
| 225100000X | Physical Therapist | LPT-034484 (Arizona) | Secondary |
| 225100000X | Physical Therapist | 4384 (Nevada) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | PTL.0019677 (Colorado) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Benchmark Physical Therapy Of Oregon Llc | 0143510602 | 129 |
| Foothills Sports Medicine And Rehabilitation Llc | 2668457979 | 168 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cory Alexander Stattelman is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Cory Alexander Stattelman, DPT
1200 Corporate Dr Ste 400,
Hoover, AL 35242-5424
Ph: (702) 423-4389 | Cory Alexander Stattelman, DPT
2160 Nw Vine St,
Grants Pass, OR 97526-8439
Ph: (541) 479-4916 |
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