Individual provider Active NPI

Cheryl Allison Herbert-Corbin, PTA

  • Physical Therapy Assistant
  • Newtown, PA
National Provider Identifier
1063706703
Registry record updated May 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TEI002964 Issued in PA
Practice address
44 Brecknock CT
Newtown, PA 18940-2411
Phone
(215) 504-2449
NPI assigned
May 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI002964 PA Primary
Physical Therapy Assistant 225200000X PTA 17727 FL

Addresses

Primary practice location

44 Brecknock CT
Newtown, PA 18940-2411

Mailing address

44 Brecknock CT
Newtown, PA 18940-2411
Phone (215) 504-2449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA 17727FLMDPhysical Therapy Assistant
TEI002964PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1306627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306627200000",
    "number": "1063706703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BRECKNOCK CT",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189402411",
            "telephone_number": "215-504-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BRECKNOCK CT",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189402411",
            "telephone_number": "215-504-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT-CORBIN",
        "first_name": "CHERYL",
        "middle_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-29",
        "last_updated": "2011-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI002964",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 17727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.