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

Corey Samudosky, PT, DPT

Individual provider Sports Physical Therapist · NPI 1386415172

Corey Samudosky, PT, DPT is a Physical Therapist in Private Practice in Decatur, Texas. Qualified in 2022, 4 years ago. Practices with Bonnette Elite Physical Therapy and Wellness, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2024
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

609 Medical Center Dr Bldg 200
Decatur, TX 76234-3866
Phone: (940) 626-1360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6930 Harris Pkwy Ste 120, Fort Worth, TX 76132-4272 — (817) 885-0668

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 1373953 (TX)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 1373953 (TX)

Record details

NPI number1386415172
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJanuary 11, 2024
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024
Mailing address2951 Picadilly Ln Apt 826, Denton, TX 76207-2084

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bonnette Elite Physical Therapy And Wellness — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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