Active NPI
Kore OT & PT, PLLC
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1417369380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034140-1
- Legal business name
- KORE OT & PT, PLLC
- Practice address
- 972 E 88TH St
Suite 004
Brooklyn, NY 11236-3949 - Phone
- (347) 391-5060
- NPI assigned
- May 28, 2014
- Last updated
- May 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Katia Jolly Souverain, PT, OTR/L, MBA, CEAS
- Title
- Owner
- Phone
- (347) 391-5060
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 034140-1 | NY | Primary |
| Cardiopulmonary Physical Therapist | 2251C2600X | 034140-1 | NY | |
| Ergonomics Physical Therapist | 2251E1200X | 034140-1 | NY | |
| Geriatric Physical Therapist | 2251G0304X | 034140-1 | NY | |
| Neurology Physical Therapist | 2251N0400X | 034140-1 | NY | |
| Pediatric Physical Therapist | 2251P0200X | 034140-1 | NY | |
| Sports Physical Therapist | 2251S0007X | 034140-1 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 034140-1 | NY | |
| Occupational Therapist | 225X00000X | 63 017099 | NY | |
| Environmental Modification Occupational Therapist | 225XE0001X | 63 017099 | NY | |
| Ergonomics Occupational Therapist | 225XE1200X | 63 017099 | NY | |
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | 63 017099 | NY | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 63 017099 | NY | |
| Pediatric Occupational Therapist | 225XP0200X | 63 017099 | NY |
Addresses
Primary practice location
972 E 88TH St
Suite 004
Brooklyn, NY 11236-3949
Mailing address
942 E 87TH St
Brooklyn, NY 11236-3909
Phone (347) 391-5060
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1699051409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401321600000",
"number": "1417369380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 E 87TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363909",
"telephone_number": "347-391-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "972 E 88TH ST",
"address_2": "SUITE 004",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363949",
"telephone_number": "347-391-5060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KORE OT & PT, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-28",
"last_updated": "2014-05-29",
"status": "A",
"authorized_official_last_name": "SOUVERAIN",
"authorized_official_first_name": "KATIA",
"authorized_official_middle_name": "JOLLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-391-5060",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT, OTR/L, MBA, CEAS"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "034140-1",
"primary": true
},
{
"code": "2251C2600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "NY",
"license": "034140-1",
"primary": false
},
{
"code": "2251E1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Ergonomics",
"state": "NY",
"license": "034140-1",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": "NY",
"license": "034140-1",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Neurology",
"state": "NY",
"license": "034140-1",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "034140-1",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": "NY",
"license": "034140-1",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "034140-1",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NY",
"license": "63 017099",
"primary": false
},
{
"code": "225XE0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Environmental Modification",
"state": "NY",
"license": "63 017099",
"primary": false
},
{
"code": "225XE1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Ergonomics",
"state": "NY",
"license": "63 017099",
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "NY",
"license": "63 017099",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NY",
"license": "63 017099",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "63 017099",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.