Sally Marie Corbo, MS,PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024259 Issued in NY

Practice address

15 Fairfield St
Staten Island, NY 10308-1823

Phone

(718) 984-9800

NPI assigned

Mar 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1073889804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HILLCREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082734",
            "telephone_number": "718-356-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FAIRFIELD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081823",
            "telephone_number": "718-984-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBO",
        "first_name": "SALLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS,PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willow Vivian Copulos
• Yenny Rocio Coral, OTR/L
• Laurene Marie Corbino, CNM
• Jeremiah Michael Corbo, LMHC
• Karen Melissa Corbo
• Danamarie Corcoran, SLP CFY
• Constance Cordaro, PA
• Joanne Cordero-Retino, OTR/L
• Beatrice Cordero
• Cynthia Cordero, OTR/L

• Physical Therapist in Staten Island, NY
• Providers in Staten Island, 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 Mar 27, 2012; 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.