Core Balance Physical Therapy, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

008706 Issued in CT

Legal business name

CORE BALANCE PHYSICAL THERAPY, LLC

Practice address

22 Knapp St
Suite 303
Stamford, CT 06907-1700

Phone

(203) 433-0869

Fax

(203) 989-3959

NPI assigned

Sep 4, 2014

Organization subpart

No

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

Authorized official

Name

Christine Marie Colonna, MS, PTNPI 1770714412

Title

Owner

Phone

(845) 269-9475

Specialties & licenses 1

Addresses

Other names 1

• Core Balance Physical Therapy, LLC Other name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Colonna, PT

  • Physical Therapist
  • Milford, CT
  • NPI 1770714412
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1093115404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 KNAPP ST",
            "address_2": "SUITE 303",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069071700",
            "telephone_number": "203-433-0869",
            "fax_number": "203-989-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 KNAPP ST",
            "address_2": "SUITE 303",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069071700",
            "telephone_number": "203-433-0869",
            "fax_number": "203-989-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE BALANCE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "COLONNA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-269-9475",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "008706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Balance Physical Therapy, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Coppolo, APRN
• Corado Counseling LLC
• Gicel Corado
• Yamel A Corcoll-Iglesias, MA.,LMFT
• Kerry Corcoran, APRN
• Elizabeth Soriya Coritt, LCSW
• Cornerstone Pediatrics
• Carlie Michelle Corrigan
• Lin Corson, DO
• Efren Cortes, DDS

• Orthopedic Physical Therapist in Stamford, CT
• Providers in Stamford, CT by specialty
• Orthopedic Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.