Organization Active NPI

Kevin Carl Manabe Coriano

  • Physical Therapy Clinic/Center
  • Salem, OR
National Provider Identifier
1124630850
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KEVIN CARL MANABE CORIANO
Practice address
631 Jason St NE
Salem, OR 97301-2357
Phone
(971) 273-0084
Fax
(971) 701-6224
NPI assigned
Aug 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Kevin Carl Manabe Coriano
Title
Physical Therapist
Phone
(907) 441-0239

Specialties & licenses 1

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

Addresses

Primary practice location

631 Jason St NE
Salem, OR 97301-2357

Mailing address

631 Jason St NE
Salem, OR 97301-2357
Phone (971) 273-0084

Other names 1

  • Kevin Coriano - DPT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1124630850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 JASON ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012357",
            "telephone_number": "971-273-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 JASON ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012357",
            "telephone_number": "971-273-0084",
            "fax_number": "971-701-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN CARL MANABE CORIANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "CORIANO",
        "authorized_official_first_name": "KEVIN CARL",
        "authorized_official_middle_name": "MANABE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "907-441-0239"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kevin Coriano - DPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.