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

Cory Alexander Stattelman, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1457966293

Cory Alexander Stattelman, DPT is a Physical Therapist in Private Practice in Grants Pass, Oregon. Qualified in 2020, 6 years ago. Practices with Benchmark Physical Therapy of Oregon LLC, a 130-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Colorado, Nevada and Oregon.

Years since qualifying
6
Licensed in
AZ, CO, NV, OR
In the registry since
2020
Specialties on file
5
What do these letters mean?
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

2160 NW Vine St
Grants Pass, OR 97526-8439
Phone: (541) 479-4916
Show map & directions

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

Additional practice locations (2)

  • 340 E 1st Ave Ste 307, Broomfield, CO 80020-2454 — (303) 466-6463
  • 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 — (702) 728-5735

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 66044 (OR)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 4384 (NV)
Physical Therapist Taxonomy 225100000X · Licence LPT-034484 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 4384 (NV)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence PTL.0019677 (CO)

Record details

NPI number1457966293
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 9, 2020
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Benchmark Physical Therapy Of Oregon Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grants Pass