Active NPI
Angelina C Corales, PT
- Physical Therapist
- Metairie, LA
National Provider Identifier
1376981449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 06689
- Practice address
- 3000 Severn Ave
Suite 7
Metairie, LA 70002-7605 - Phone
- (504) 885-8969
- NPI assigned
- Jun 11, 2013
- Last updated
- Sep 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 06689 | LA | Primary |
Addresses
Primary practice location
3000 Severn Ave
Suite 7
Metairie, LA 70002-7605
Mailing address
3000 Severn Ave
Suite 7
Metairie, LA 70002-7605
Phone (504) 885-8969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06689 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southshore Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Metairie, LA
- NPI 1962424853
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1376981449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 SEVERN AVE",
"address_2": "SUITE 7",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700027605",
"telephone_number": "504-885-8969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 SEVERN AVE",
"address_2": "SUITE 7",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700027605",
"telephone_number": "504-885-8969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORALES",
"first_name": "ANGELINA",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "06689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.