Individual provider Active NPI

Amber Korb

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1235511908
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTT30379 Issued in FL
Practice address
7300 Sandlake Commons Blvd
Suite 305
Orlando, FL 32819-8050
Phone
(407) 802-4514
Fax
(407) 802-4518
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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 PTT30379 FL Primary

Addresses

Primary practice location

7300 Sandlake Commons Blvd
Suite 305
Orlando, FL 32819-8050

Mailing address

6952 Sea Coral Dr
Apt. 108
Orlando, FL 32821-8048
Phone (386) 983-0805

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTT30379FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1235511908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6952 SEA CORAL DR",
            "address_2": "APT. 108",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328218048",
            "telephone_number": "386-983-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SANDLAKE COMMONS BLVD",
            "address_2": "SUITE 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198050",
            "telephone_number": "407-802-4514",
            "fax_number": "407-802-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORB",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT30379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.