Larry Codner, P.T.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

0145431 Issued in NY

Practice address

116 Hampton GRN
Staten Island, NY 10312-1739

Phone

(718) 238-0598

Fax

(718) 351-2269

NPI assigned

Aug 31, 2006

Last updated

Mar 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richmond Physical Therapy Rehabilitation PCGroup PAC ID 8628968617, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Richmond Physical Therapy Rehabilitation PC

  • Physical Therapy Clinic/Center
  • Staten Island, NY
  • NPI 1336257732
  Medicare reassignment Care Compare group NPD
• Bienetre Medical PC

  dba Zaya Care

  • Physical Therapist
  • New York, NY
  • NPI 1568037257

  Physical Therapy

  Medicare reassignment NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1255442034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HAMPTON GRN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121739",
            "telephone_number": "718-238-0598",
            "fax_number": "718-351-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 HAMPTON GRN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121739",
            "telephone_number": "718-238-0598",
            "fax_number": "718-351-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODNER",
        "first_name": "LARRY",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "0145431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Ida Coachman, LCSWR
• William Cobb, CASAC-T
• Rose Cobo
• Kristina Coca, CASAC-T
• Coddington Office Based Surgery, PC
• Christopher Codoner, P.T.
• Julie Coello, LMSW
• Cynthia Cofano, LPN
• Domenick Coffaro
• Cathryn Ann Coffey Mione

• Physical Therapy Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.