Individual provider Active NPI

Brianna Marie Corrado, DPT

  • Physical Therapist
  • Avon, CT
National Provider Identifier
1447009402
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14552 Issued in CT
Practice address
31 Ensign Dr Ste B
Avon, CT 06001-3773
Phone
(860) 404-2461
NPI assigned
May 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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 14552 CT Primary

Addresses

Primary practice location

31 Ensign Dr Ste B
Avon, CT 06001-3773

Mailing address

70 Silo Way
Bloomfield, CT 06002-1654
Phone (845) 568-9714

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030001980 NY Practitioner - Physical Therapist in Private Practice 9830622778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

111 Maiden LN
Kingston, NY 12401-4525
Phone (845) 331-8590

1508 Route 9W
Suite 1
Marlboro, NY 12542-5436
Phone (845) 691-9169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14552CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access PT, OT, New York, PLLC Physical Therapist CurrentSince Oct 3, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Feb 3, 2025 Accepting new patients
Ptsma Inc PastSince May 19, 2024 Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc PastSince May 19, 2024 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

16 Maybrook Rd
Ste L
Campbell Hall, NY 10916

111 Maiden Ln
Kingston, NY 12401
Phone (845) 331-8590

1508 Route 9W
Ste 1
Marlboro, NY 12542
Phone (845) 691-9169

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 5

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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1447009402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SILO WAY",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060021654",
            "telephone_number": "845-568-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ENSIGN DR STE B",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013773",
            "telephone_number": "860-404-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRADO",
        "first_name": "BRIANNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.