Individual provider Active NPI

Jonathan Korason, DPT

  • Physical Therapist
  • Plainview, NY
National Provider Identifier
1336787597
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
042124 Issued in NY
Practice address
651 Old Country Rd
Plainview, NY 11803-4938
Phone
(516) 870-1429
Fax
(516) 870-1477
NPI assigned
Dec 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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 042124 NY Primary

Addresses

Primary practice location

651 Old Country Rd
Plainview, NY 11803-4938

Mailing address

33 Lane Ave
Plainview, NY 11803-5206
Phone (516) 580-9740

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL PLAINVIEW Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200330001121 NY Practitioner - Physical Therapist in Private Practice 4486083359 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

225 Merrick Rd
Lynbrook, NY 11563-2621
Phone (516) 559-8734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042124NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Nov 29, 2021 Accepting new patients
The Central Orthopedic Group L L P CurrentSince Feb 26, 2020 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Nov 29, 2021 Accepting new patients
Liht Occupational Therapy PC CurrentSince Jul 25, 2021 Accepting new patients
The Central Orthopedic Group L L P CurrentSince Feb 26, 2020 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Oct 6, 2020 Accepting new patients
Elite Performance Physical Therapy PC CurrentSince Jul 25, 2021 Accepting new patients

Locations

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

1325 Franklin Ave
Ste LL105
Garden City, NY 11530
Phone (516) 280-8811

550 Mamaroneck Ave
Ste 104
Harrison, NY 10528
Phone (914) 777-3737

225 Merrick Rd
Lynbrook, NY 11563
Phone (516) 599-8734

651 Old Country Rd
Plainview, NY 11803
Phone (516) 333-7200

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 7

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": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1336787597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LANE AVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035206",
            "telephone_number": "516-580-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034938",
            "telephone_number": "516-870-1429",
            "fax_number": "516-870-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORASON",
        "first_name": "JONATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PLAINVIEW",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "651 Old Country Rd",
            "city": "Plainview",
            "state": "NY",
            "country_code": "US",
            "postal_code": "118034938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.