Active NPI
Dorota Katarzyna Korczak, MSPT
- Physical Therapist
- Cheshire, CT
National Provider Identifier
1437357407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007721
- Practice address
- 1157 Highland Ave
Cheshire, CT 06410-1600 - Phone
- (203) 271-2056
- NPI assigned
- Jul 11, 2007
- Last updated
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 007721 | CT | Primary |
Addresses
Primary practice location
1157 Highland Ave
Cheshire, CT 06410-1600
Mailing address
58 Charles St
New Britain, CT 06051-2112
Phone (860) 826-0188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Bridgewater Rd
Farmington, CT 06032-2263
Phone (860) 470-4121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007721 | CT | MD | Physical Therapist |
| 7721 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441
Organizations & group practices 2
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 Therapist
- Farmington, CT
- NPI 1265178354
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1437357407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 CHARLES ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060512112",
"telephone_number": "860-826-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1157 HIGHLAND AVE",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064101600",
"telephone_number": "203-271-2056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORCZAK",
"first_name": "DOROTA",
"middle_name": "KATARZYNA",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.