Organization Active NPI

Core Station Physical Therapy, PLLC

Doing business as Ha Physical Therapy

  • Physical Therapy Clinic/Center
  • Warwick, NY
National Provider Identifier
1124562236
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
035519 Issued in NY
Legal business name
CORE STATION PHYSICAL THERAPY, PLLC
Doing business as
Ha Physical Therapy
Practice address
214 West St # 2
Warwick, NY 10990-3214
Phone
(845) 545-4803
Fax
(845) 853-1598
NPI assigned
Dec 7, 2016
Last updated
Apr 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Dr. Taewoon Ha, DPTNPI 1811354087
Title
Physical Therapist/Founder
Phone
(845) 545-4803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 035519 NY Primary

Addresses

Primary practice location

214 West St # 2
Warwick, NY 10990-3214

Mailing address

214 West St # 2
Warwick, NY 10990-3214
Phone (845) 545-4803

Other names 1

  • HA PHYSICAL THERAPY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170329002853 NY Part B Supplier - Clinic/Group Practice 9537444757 Receives reassigned benefits from 1 practitioner
Practice locations: Warwick, NY

National Provider Directory

National Provider Directory

Locations

135 E 50th St
#C101
New York, NY 10022

135 E 50th St
Ste C101
New York, NY 10022
Phone (212) 600-1889

214 West St
#2
Warwick, NY 10990
Phone (845) 545-4803

7 Wisner Rd
Ste 2
Warwick, NY 10990
Phone (845) 545-4803

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1124562236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 WEST ST # 2",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109903214",
            "telephone_number": "845-545-4803",
            "fax_number": "845-853-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WEST ST # 2",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109903214",
            "telephone_number": "845-545-4803",
            "fax_number": "845-853-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE STATION PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "TAEWOON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/FOUNDER",
        "authorized_official_telephone_number": "845-545-4803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "035519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HA PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warwick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.