Individual provider Active NPI

Robin Genendlis Korotki, P.T.

  • Physical Therapist
  • Towson, MD
National Provider Identifier
1235139064
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15044 Issued in MD
Practice address
21 West Rd
Suite 105
Towson, MD 21204-2325
Phone
(410) 825-0650
Fax
(410) 823-9335
NPI assigned
Jul 22, 2005
Last updated
Nov 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15044 MD Primary

Addresses

Primary practice location

21 West Rd
Suite 105
Towson, MD 21204-2325

Mailing address

21 West Rd
Suite 105
Towson, MD 21204-2325
Phone (410) 825-0650

Other identifiers 5

IdentifierTypeStateIssuer
1312639OtherMDJOHNS HOPKINS HEALTH
338388OtherMDALLIANCE
J405RGOtherMDBLUE CROSS/BLUE SHIELD
CIGNAOtherMDCIGNA
T223OtherMDBLUE SHIELD FEDERAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080822000199 MD Practitioner - Physical Therapist in Private Practice 1153496310 Reassigns benefits to 1 organization
Practice locations: Lutherville, MD

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fidel Integrated Medical Solutions PCGroup PAC ID 6406165521, 6 clinicians

Practice addresses (Care Compare)

1866 Reisterstown Rd
Suite F
Pikesville, MD 21208-1335
Phone (410) 484-5642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15044MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fidel Integrated Medical Solutions PC Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients
Marathon Ventures Corp PastSince Oct 8, 2023 Accepting new patients
Leo I. Korotki, M.D. Past Accepting new patients
Fidel Chiropractic Center, Inc. PastSince Jan 1, 2010 Accepting new patients

Locations

1866 Reisterstown Rd
#F
Pikesville, MD 21208
Phone (410) 358-0060

1866F Reisterstown Rd
Pikesville, MD 21208
Phone (410) 484-5642

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1235139064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WEST RD",
            "address_2": "SUITE 105",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042325",
            "telephone_number": "410-825-0650",
            "fax_number": "410-823-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WEST RD",
            "address_2": "SUITE 105",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042325",
            "telephone_number": "410-825-0650",
            "fax_number": "410-823-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROTKI",
        "first_name": "ROBIN",
        "middle_name": "GENENDLIS",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS HEALTH",
            "identifier": "1312639",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "338388",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "J405RG",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "CIGNA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD FEDERAL",
            "identifier": "T223",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.