Core Essentials Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CORE ESSENTIALS PHYSICAL THERAPY, PLLC

Practice address

1901 Vestal Pkwy E
Vestal, NY 13850-1964

Phone

(607) 217-5167

NPI assigned

Feb 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer M Cobb, PT, DPT

Title

Owner, Physical Therapist

Phone

(607) 217-5167

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Melissa Ann McAllister, DPT

  • Physical Therapist
  • Binghamton, NY
  • NPI 1962163113
  Medicare reassignment Care Compare group NPD
• Jennifer M Noble, PT, DPT

  • Physical Therapist
  • Vestal, NY
  • NPI 1295146066
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1316646466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501964",
            "telephone_number": "607-217-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501964",
            "telephone_number": "607-217-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE ESSENTIALS PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "607-217-5167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS PT LICENSE",
            "identifier": "036695",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295146066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan T. Comfort
• Jane M Connor, PH.D.
• William Henry Connor, PH.D.
• Anthony Consolazio, MD
• Lisa M Cooper
• Amy Rebecca Cousins, MD
• Julianna Cox, LMSW
• Colleen Mary Crandell, D.O.
• Angela Lynn Crawford, PHD
• Kathleen Ann Cregan, FNP

• Physical Therapy Clinic/Center in Vestal, NY
• Providers in Vestal, 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 Feb 27, 2023; 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.