Active NPI
Corey Lynn Dilalla
- Physical Therapist
- Medina, OH
National Provider Identifier
1144562802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.014112
- Practice address
- 49 Leisure LN
Medina, OH 44256-1285 - Phone
- (330) 723-5825
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT.014112 | OH | Primary |
Addresses
Primary practice location
49 Leisure LN
Medina, OH 44256-1285
Mailing address
49 Leisure LN
Medina, OH 44256-1285
Phone (330) 723-5825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT.014112 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1144562802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 LEISURE LN",
"city": "MEDINA",
"state": "OH",
"postal_code": "442561285",
"telephone_number": "330-723-5825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 LEISURE LN",
"city": "MEDINA",
"state": "OH",
"postal_code": "442561285",
"telephone_number": "330-723-5825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILALLA",
"first_name": "COREY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.014112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.