Alessandra Jovan Corradi, PT, DPT
Individual provider Active NPI Physical Therapist · Poland, OH
NPI 1376208694 · NPPES record last updated Nov 2, 2021
Key facts
- NPI
- 1376208694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT019508 (OH)
- Practice address
- 1301 Boardman Poland Rd Ste H
Poland, OH 44514-1960 - Phone
- (330) 629-6231
- NPI assigned
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019508 | OH | MD | Physical Therapist |
| PT029929 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novacare Rehabilitation of Ohio, Inc. | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT029929 | PA | |
| Physical Therapist | 225100000X | PT019508 | OH | Yes |
Addresses
Primary practice location
1301 Boardman Poland Rd Ste H
Poland, OH 44514-1960
Mailing address
4587 Barrington Dr
Youngstown, OH 44515-5233
Phone (330) 397-1391
Other providers in Poland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.