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

Mr. Cory William Hustad, PT, ATC, MBA

Individual provider Physical Therapist · NPI 1972535813

Mr. Cory William Hustad, PT, ATC, MBA is a Physical Therapist in Clemmons, North Carolina. Licensed in North Carolina and Tennessee. Registered with an NPI since 2006.

Licensed in
NC, TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

7210 Village Medical Cir Ste 115
Clemmons, NC 27012-8045
Phone: (336) 893-2460
Fax: (336) 893-2468
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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 P8045 (NC)
Physical Therapist Taxonomy 225100000X · Licence 8045 (NC)
Physical Therapist Taxonomy 225100000X · Licence 7697 (TN)

Record details

NPI number1972535813
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , ATC , MBA
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

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