Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLO CUSTODIO CORDERO, PT
ActiveCARLO CUSTODIO CORDERO, PT is a Physical Therapy Assistant healthcare provider located in LOCKPORT, Illinois. NPI 1407211501 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LOCKPORT, IL
Registration Details
- NPI Number
- 1407211501
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 16, 2015 (10.660650976703 yrs)
- Last Updated
- Oct 10, 2025
- License
-
070.020489 (IL)
Practice Information
- Address
-
1065 E 9TH STLOCKPORT, IL, 604413567Browse IL providers · Browse ZIP 60441
- Phone
- 8155881366
- Fax
- 8155882010
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LOCKPORT, IL
| Name | Credential | NPI |
|---|---|---|
| DARLENE MARIE CARLSON | MSPT | 1326026402 |
| KELLY JENSON | PT | 1366497190 |
| JAIME KLACKO | P.T. | 1497701775 |
| AMY GOEBBERT | MPT | 1134263403 |
| VALERIE R MILLER | PT | 1538299961 |
| DR. ERIN MCELHENY | DPT | 1871771865 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.