Prathibha Koreka
Individual provider Active NPI Physical Therapist · Dayton, NJ
NPI 1124385901 · NPPES record last updated Feb 6, 2026
Key facts
- NPI
- 1124385901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 40QA01534600 (NJ)
- Practice address
- 2245 US Highway 130 Ste 105
Dayton, NJ 08810-2420 - Phone
- (732) 609-7155
- Fax
- (609) 228-6173
- NPI assigned
- Apr 18, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1374 Whitehorse Hamilton Square Rd
Suite 301
Hamilton, NJ 08690-3701
2245 US Hwy 130
Suite 105
Dayton, NJ 08810-2420
Phone (732) 609-7155
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150311002265 | NJ | Practitioner - Physical Therapist in Private Practice | 7810140993 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shalom Therapeutic Services LLC | Current |
Accepting new patients | |
| Epoch Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| Omega PT, L.L.C | Physical Therapist | Past | Accepting new patients |
Locations
2245 US Highway 130
Ste 105
Dayton, NJ 08810
Phone (732) 230-3205
1374 Whitehorse Hamilton Square Rd
Ste 301
Trenton, NJ 08690
Phone (609) 581-6622
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01534600 | NJ | Yes |
Addresses
Primary practice location
2245 US Highway 130 Ste 105
Dayton, NJ 08810-2420
Mailing address
2245 US Highway 130 Ste 105
Dayton, NJ 08810-2420
Phone (732) 609-7155
Other providers in Dayton, NJ
- Timothy Jonathan
- Carlo Kalisch-Cellai
- Francess Kanyako
- Zoe J Kim
- Knowledge Health Medical Services, P.C.
- Suchitha Kumar
- Cristina Langan
- Lens & Frames Inc.
- Daniel Lund
- Lynn Lebeda Churchwell
All providers in Dayton, NJ · Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2026. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.