Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Corey Deven Ackley, PT, DPT

Individual provider Physical Therapist · NPI 1124686027

Corey Deven Ackley, PT, DPT is a Physical Therapist in Private Practice in Las Vegas, Nevada. Qualified in 2019, 7 years ago. Practices with Dignity Select Nevada LLC, a 109-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
7
Licensed in
NV
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2650 N Tenaya Way Ste 180
Las Vegas, NV 89128-1110
Phone: (702) 240-2952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4026 (NV)

Record details

NPI number1124686027
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESJune 5, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dignity Select Nevada Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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