Gena R Korrell, MPT, CERT, MDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J0000744 Issued in DE

Practice address

2323 Pennsylvania Ave
2ND Floor
Wilmington, DE 19806-1332

Phone

(302) 888-2551

Fax

(302) 888-2571

NPI assigned

May 31, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stoney Batter Physical Therapy & Spine Center, LLC

  • Specialist
  • Wilmington, DE
  • NPI 1912000373
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1104829472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CORRINE RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193826781",
            "telephone_number": "610-793-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 PENNSYLVANIA AVE",
            "address_2": "2ND FLOOR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061332",
            "telephone_number": "302-888-2551",
            "fax_number": "302-888-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORRELL",
        "first_name": "GENA",
        "middle_name": "R",
        "credential": "MPT, CERT, MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J0000744",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002780E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "7043347",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "UP1205",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Kopishke
• Maryellen Kopp, APN
• Andrew Koppel
• Reid Howell Koren
• Sandra Lorena Korines, LCSW
• Jenna Korsan, OD
• Fadi N. Kosa, D.M.D.
• Susanne I. Kost, MD
• Stephanie Michelle Kostas, LCSW
• Victoria Kostour, MS, CGC

• Physical Therapist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.