Active NPI
Mia Elizabeth Korum, ATC
- Kinesiotherapist
- Scottsdale, AZ
National Provider Identifier
1164054797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- ATR-009143
- Practice address
- 7355 E Thompson Peak Pkwy Apt V3008
Scottsdale, AZ 85255-4479 - Phone
- (253) 432-1645
- NPI assigned
- Feb 11, 2020
- 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 |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | ATR-009143 | AZ | Primary |
Addresses
Primary practice location
7355 E Thompson Peak Pkwy Apt V3008
Scottsdale, AZ 85255-4479
Mailing address
7355 E Thompson Peak Pkwy Apt V3008
Scottsdale, AZ 85255-4479
Phone (253) 432-1645
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 |
|---|---|---|---|
| ATR-009143 | AZ | MD | Kinesiotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1164054797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7355 E THOMPSON PEAK PKWY APT V3008",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852554479",
"telephone_number": "253-432-1645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7355 E THOMPSON PEAK PKWY APT V3008",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852554479",
"telephone_number": "253-432-1645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORUM",
"first_name": "MIA",
"middle_name": "ELIZABETH",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": "AZ",
"license": "ATR-009143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.