Corefit Physical Therapy, Occupational Therapy Wellness PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025992-1 Issued in NY

Legal business name

COREFIT PHYSICAL THERAPY, OCCUPATIONAL THERAPY WELLNESS PLLC

Practice address

16 Caroline Ave
Smithtown, NY 11787-5742

Phone

(516) 909-8347

Fax

(631) 656-9264

NPI assigned

Jun 14, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Eaton Alai-Tafti, PT

Title

Owner/PT

Phone

(516) 909-8347

Specialties & licenses 2

Addresses

Practitioners 1

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

• Kathleen Eaton, PT

  • Physical Therapist
  • Mt Pleasant, SC
  • NPI 1780859116
  NPD (past)

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1356662357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CAROLINE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875742",
            "telephone_number": "516-909-8347",
            "fax_number": "631-656-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CAROLINE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875742",
            "telephone_number": "516-909-8347",
            "fax_number": "631-656-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREFIT PHYSICAL THERAPY, OCCUPATIONAL THERAPY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "EATON ALAI-TAFTI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "516-909-8347",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025992-1",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Eugene Conway, LCSW
• Kenneth Eugene Coombs, DPM
• Elizabeth Coppin, RN
• Paolo Thomas Coppola, MD
• Jocelyn Cordero Sy
• Corradino M Lalli, Physician, PC
• Nicole Marie Corvaia, ATR. LCAT
• Melissa Coscia, LMSW
• Costa Physical Therapy, P.C.
• Amanda M Costa

• Physical Therapist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.