Active NPI
Joseph Corbo, PT
- Physical Therapist
- West Tisbury, MA
National Provider Identifier
1306915392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17133
- Practice address
- 489 State Rd
West Tisbury, MA 02575 - Phone
- (508) 693-3800
- NPI assigned
- Nov 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 Therapist | 225100000X | 17133 | MA | Primary |
Addresses
Primary practice location
489 State Rd
West Tisbury, MA 02575
Mailing address
3 Sandcastle Lane
Aquinnah, MA 02535
Phone (508) 645-7926
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306915392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SANDCASTLE LANE",
"city": "AQUINNAH",
"state": "MA",
"postal_code": "02535",
"telephone_number": "508-645-7926",
"fax_number": "608-645-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 STATE RD",
"city": "WEST TISBURY",
"state": "MA",
"postal_code": "02575",
"telephone_number": "508-693-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBO",
"first_name": "JOSEPH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Tisbury, MA
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.