Individual provider Active NPI

Shwetambari N Korde, DPT

  • Physical Therapist
  • Plainsboro, NJ
National Provider Identifier
1356987655
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01662700 Issued in NJ
Practice address
100 Plainsboro Rd
Plainsboro, NJ 08536-1914
Phone
(609) 759-6000
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 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 40QA01662700 NJ Primary

Addresses

Primary practice location

100 Plainsboro Rd
Plainsboro, NJ 08536-1914

Mailing address

109 Donato Cir
Scotch Plains, NJ 07076-1068
Phone (909) 735-0857

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Unknown Health Information Exchange (HIE)
CONNECT URL Unknown Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200302001776 NJ Practitioner - Physical Therapist in Private Practice 1153758222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Progressive Spine and Orthopaedics LLCGroup PAC ID 2961669528, 2 clinicians

Practice addresses (Care Compare)

477 Brace Ave
Perth Amboy, NJ 08861-3018
Phone (732) 442-0969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Spine & Orthopaedics, LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients

Locations

208 Harristown Rd
Lowr 1
Glen Rock, NJ 07452
Phone (201) 371-3932

Organizations & group practices 2

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": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1356987655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DONATO CIR",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761068",
            "telephone_number": "909-735-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PLAINSBORO RD",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361914",
            "telephone_number": "609-759-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORDE",
        "first_name": "SHWETAMBARI",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01662700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Unknown",
            "affiliation": "N",
            "endpointDescription": "Unknown",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "109 Donato Cir",
            "city": "Scotch Plains",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070761068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Unknown",
            "affiliation": "N",
            "endpointDescription": "Unknown",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "109 Donato Cir",
            "city": "Scotch Plains",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070761068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.