Individual provider Active NPI

Colleen K Corella, MPT

  • Physical Therapist
  • Reading, PA
National Provider Identifier
1376739839
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008178L Issued in PA
Practice address
1940 N 13TH St
Suite 130
Reading, PA 19604-1539
Phone
(610) 921-0609
Fax
(610) 921-2652
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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 PT008178L PA Primary

Addresses

Primary practice location

1940 N 13TH St
Suite 130
Reading, PA 19604-1539

Mailing address

1605 Hampden Blvd
Reading, PA 19604-1601
Phone (610) 372-7139

Other names 1

  • Miss Colleen K Schorn Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071130000168 PA Practitioner - Physical Therapist in Private Practice 2668561507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Mountain Physical Therapy LLCGroup PAC ID 4981771631, 12 clinicians

Practice addresses (Care Compare)

1001 James Dr
Suite A14
Leesport, PA 19533-8867
Phone (484) 671-2065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Mountain Physical Therapy LLC CurrentSince Jul 1, 2023 Accepting new patients

Locations

1001 James Dr
Ste A14
Leesport, PA 19533
Phone (484) 671-2065

4740 Penn Ave
Sinking Spring, PA 19608
Phone (610) 927-5183

4728 Penn Ave
South Heidelberg, PA 19608
Phone (610) 927-5183

Organizations & group practices 1

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1376739839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 HAMPDEN BLVD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041601",
            "telephone_number": "610-372-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N 13TH ST",
            "address_2": "SUITE 130",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041539",
            "telephone_number": "610-921-0609",
            "fax_number": "610-921-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORELLA",
        "first_name": "COLLEEN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008178L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "SCHORN",
            "middle_name": "K",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.