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

Dale R Corum II, PT

Individual provider Physical Therapist · NPI 1982624250

Dale R Corum II, PT is a Physical Therapist in Private Practice in Maynardville, Tennessee. Qualified in 1998, 28 years ago. Practices with East Tennessee Physical Therapy LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Tennessee.

Years since qualifying
28
Licensed in
KY, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4357 Maynardville Hwy
Maynardville, TN 37807-3623
Phone: (865) 745-1799
Fax: (865) 745-1806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2255 Highway 25e Ste 4, Tazewell, TN 37879-3857 — (423) 626-7848

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT0000005712 (TN)
Physical Therapist Taxonomy 225100000X · Licence 004863 (KY)

Record details

NPI number1982624250
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 20, 2006
Last updated in NPPESJuly 17, 2022
Certification dateJuly 17, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice East Tennessee Physical Therapy Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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