Dale R. Corum II, PT
NPI 1982624250ActiveIndividual· Physical Therapist· Maynardville, TN
Physical Therapist (PT) with East Tennessee Physical Therapy LLC, practicing in Maynardville, Tennessee. Medicare paid $38,731 for services to 58 patients in 2024.
Overview
| NPI | 1982624250 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Jul 20, 2006 |
| Last updated in NPPES | Jul 17, 2022 |
| Certified by provider | Jul 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT0000005712 | TN |
| Physical Therapist | 225100000X | 004863 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 58 |
|---|---|
| Services billed | 2,685 across 8 procedure codes |
| Paid by Medicare | $38,731 |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- East Tennessee Physical Therapy LLCTazewell, TN · 3 clinicians
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