Active NPI
Mary Anne - Korin, CPTA
- Physical Therapy Assistant
- Briarcliff Manor, NY
National Provider Identifier
1295930352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 004815-1
- Practice address
- 584 N State Rd
Briarcliff Manor, NY 10510-1522 - Phone
- (914) 762-2222
- Fax
- (914) 762-9175
- NPI assigned
- Jun 19, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 004815-1 | NY | Primary |
Addresses
Primary practice location
584 N State Rd
Briarcliff Manor, NY 10510-1522
Mailing address
32 E Branch Rd
Mahopac, NY 10541-3223
Phone (845) 628-6826
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004815-1 | NY | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295930352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 E BRANCH RD",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105413223",
"telephone_number": "845-628-6826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 N STATE RD",
"city": "BRIARCLIFF MANOR",
"state": "NY",
"postal_code": "105101522",
"telephone_number": "914-762-2222",
"fax_number": "914-762-9175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORIN",
"first_name": "MARY ANNE",
"middle_name": "-",
"credential": "CPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "004815-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Briarcliff Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.