Individual provider Active NPI

Corey McHale Silbert Hazama, DPT,PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1336391556
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029667-1 Issued in NY
Practice address
110 E 42ND St
Suite1504
New York, NY 10017-5611
Phone
(212) 354-2622
Fax
(212) 354-2752
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 029667-1 NY Primary

Addresses

Primary practice location

110 E 42ND St
Suite1504
New York, NY 10017-5611

Mailing address

110 E 42ND St
Suite1504
New York, NY 10017-5611
Phone (212) 354-2622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110425000836 NY Practitioner - Physical Therapist in Private Practice 3173708765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Family Health Physical Therapy PLLCGroup PAC ID 1355691734, 7 clinicians

Practice addresses (Care Compare)

156 William St
Suite 800
New York, NY 10038-2609
Phone 2122670240406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029667-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Basics Physical Therapy Current Accepting new patients
Family Health Physical Therapy, PLLC Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients
Beyond Basics Physical Therapy Physical Therapist CurrentSince Feb 1, 2015 Accepting new patients

Locations

156 William St
Rm 800
New York, NY 10038
Phone (212) 267-0240

110 E 42nd St
Rm 1504
New York, NY 10017
Phone (212) 354-2622

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515974400000",
    "number": "1336391556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 42ND ST",
            "address_2": "SUITE1504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175611",
            "telephone_number": "212-354-2622",
            "fax_number": "212-354-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 42ND ST",
            "address_2": "SUITE1504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175611",
            "telephone_number": "212-354-2622",
            "fax_number": "212-354-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILBERT HAZAMA",
        "first_name": "COREY",
        "middle_name": "MCHALE",
        "credential": "DPT,PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2018-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029667-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.