Core Performance Physical Therapy PLLC
Organization Active NPI Physical Therapy Clinic/Center · Stamford, NY
NPI 1063138287 · NPPES record last updated Oct 25, 2022
Key facts
- NPI
- 1063138287
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- CORE PERFORMANCE PHYSICAL THERAPY PLLC
- Practice address
- 27482 State Highway 23
Stamford, NY 12167-1868 - Phone
- (607) 652-2140
- NPI assigned
- Oct 19, 2022
- Organization subpart
- No
Authorized official
- Name
- Michael Oeser, DPT
- Title
- Owner
- Phone
- (518) 366-0003
Practitioners 36
-
Amy S. Manning, P.T.
-
Christy Mary Traglia, PT, DPT
-
Justine Hoffmann, DPT
-
Kevin Michael Pipher, DPT
-
Karen S Jones, PT
-
Keith A. Bailey, MSPT
-
Edgar R Brantley Jr., MSPT
-
Jennifer L Clark, PT
-
Dawn E Evans, PT
-
Robin Lynn Hulbert, P.T.
-
Carly Ann Jones, DPT
-
Sarah Lyn Kellogg, DPT
-
Elizabeth Lepinnet Kelly, PT, DPT
-
Thao-Tien Ngoc Luu, DPT
-
Robin D Malone, P.T.
-
Christopher Marks, PT, DPT
-
Kristin L McCormack, P.T.
-
Catrina M. McKissick, DPT
-
Denise McVay, MPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230425000103 | NY | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6002271194 |
Receives reassigned benefits from 4 practitioners Practice locations: Ilion, NY; Stamford, NY |
National Provider Directory
Locations
27482 State Highway 23
Ste 3
Stamford, NY 12167
Phone (607) 652-2140
27482 State Highway 23
Stamford, NY 12167
Phone (607) 652-2140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Physical Therapy Assistant |
225200000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
27482 State Highway 23
Stamford, NY 12167-1868
Mailing address
27482 State Highway 23
Stamford, NY 12167-1868
Other practice location 1
33 Central Plz
Ilion, NY 13357-1701
Phone (315) 895-4016
Other providers in Stamford, NY
- Jennifer L Clark
- Patrice Comninel
- Robert John Connelly
- Diana Constantine
- Sydney N Cope
- Darlene A. Dames
- Zaldy Xerces Dizon
- Elizabeth Regina Fox
- Jeffrey A Goldman
- Aldrich Brend Gonzaga
All providers in Stamford, NY · Physical Therapy Clinic/Center in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.