Organization Active NPI

Korpiel Physical Therapy, PC

  • Physical Therapist
  • Clifton Springs, NY
National Provider Identifier
1285787358
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KORPIEL PHYSICAL THERAPY, PC
Practice address
210 Clifton Springs Professional Park
Clifton Springs, NY 14432-1041
Phone
(315) 462-3588
Fax
(315) 462-6590
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Tammy Korpiel, PTNPI 1659423366
Title
Owner
Phone
(315) 462-3588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

210 Clifton Springs Professional Park
Clifton Springs, NY 14432-1041

Mailing address

210 Clifton Springs Professional Park
Clifton Springs, NY 14432-1041
Phone (315) 462-3588

Other identifiers 1

IdentifierTypeStateIssuer
103048FTOtherPREFERRED CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325001151 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719879717 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory
Tax ID family
Korpiel Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

440 Clifton Springs Professional Park
Clifton Springs, NY 14432
Phone (315) 462-3588

210 Clifton Springs Professional Park
Clifton Springs, NY 14432
Phone (315) 462-3588

190 Ashton Ct
Rm 133
Clifton Springs, NY 14432
Phone (315) 462-3588

2211 Lyell Ave
Ste 101
Rochester, NY 14606
Phone (585) 360-2222

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1285787358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CLIFTON SPRINGS PROFESSIONAL PARK",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321041",
            "telephone_number": "315-462-3588",
            "fax_number": "315-462-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CLIFTON SPRINGS PROFESSIONAL PARK",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321041",
            "telephone_number": "315-462-3588",
            "fax_number": "315-462-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORPIEL PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "KORPIEL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-462-3588",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "103048FT",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.