Vanessa May Cagulada Corre, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039919 Issued in NY

Practice address

7117 11TH Ave
Brooklyn, NY 11228-1210

Phone

(917) 588-0164

NPI assigned

Sep 7, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New York Physical and Occupational Therapy Services, PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631
  Medicare reassignment NPD
• Markowitz Speech and Swallowing Therapy P.C.

  • Speech-Language Pathologist
  • Brooklyn, NY
  • NPI 1629663307

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1053868067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 11TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281210",
            "telephone_number": "917-588-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 11TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112281210",
            "telephone_number": "917-588-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRE",
        "first_name": "VANESSA MAY",
        "middle_name": "CAGULADA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "009436",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METROPLUS",
            "identifier": "630162304",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chari J Corpuz, OTR/L
• Joseph Bravo Corpuz, OTR/L
• Raymundo Obillo Corpuz Jr., M.D.
• Anna Corrado
• Jose Vivian Corre
• Mayumi Correa Lancelot Faria
• Claudia Correa
• Juan C Correa, MD
• Lynda R Correa
• Maria Correa

• Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.