Mantas Korsakas, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029645-1 Issued in NY

Practice address

1149 Old Country Rd Ste A2
Riverhead, NY 11901-2059

Phone

(631) 284-9258

Fax

(631) 284-9260

NPI assigned

Dec 13, 2007

Last updated

Nov 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

20.41 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

68.02

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oneononept PLLC

  • Physical Therapist
  • Riverhead, NY
  • NPI 1750685376
  Medicare reassignment NPD Authorized official
• Sports Physical Therapy East, PC

  • Physical Therapist
  • Amagansett, NY
  • NPI 1568540045
  NPD (past)

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1386827343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 OLD COUNTRY RD STE A2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012059",
            "telephone_number": "631-284-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 OLD COUNTRY RD STE A2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012059",
            "telephone_number": "631-284-9258",
            "fax_number": "631-284-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORSAKAS",
        "first_name": "MANTAS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029645-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Izzo Kochman, PA-C
• Eric Steven Koenigsdorf, PA
• Daniel Louis Kohut, M.D.
• Kyle Michael Konarski, LMHC, LPC
• William J Kornrich, MD
• Alyssa Marianna Koza, LMSW
• Mary Elizabeth Kozak, C.R.P.A.
• Donna Kramer, LCSW-R
• Michelle Nicole Kruczowy, P.A.
• Colleen Marie Krupski, AUD

• Physical Therapist in Riverhead, NY
• Providers in Riverhead, 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 Nov 11, 2013; 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.