Active NPI
Brenda Sue Koronka, M.S.P.T.
- Physical Therapist
- Clermont, FL
National Provider Identifier
1508014416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19944
- Practice address
- 1200 Oakley Seaver Dr
Suite 204
Clermont, FL 34711-1958 - Phone
- (352) 241-0347
- Fax
- (352) 243-3610
- NPI assigned
- Sep 4, 2008
- 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 | PT19944 | FL | Primary |
Addresses
Primary practice location
1200 Oakley Seaver Dr
Suite 204
Clermont, FL 34711-1958
Mailing address
3957 Beacon Ridge Way
Clermont, FL 34711-5333
Phone (352) 874-2731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 Oakley Seaver Dr
Suite 3
Clermont, FL 34711-1902
Phone (352) 242-0404
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.5 of 100
- Quality
- 92.99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT19944 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Business Alliance Inc | Current | Accepting new patients | |
| Cora Health Services, Inc | Past | Accepting new patients | |
| Cora Health Services, Inc | Past | Accepting new patients |
Locations
2020 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 242-0404
2020 Oakley Seaver Dr
Ste 3
Clermont, FL 34711
Phone (352) 242-0404
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
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.
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- NPI 1831234350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220486400000",
"number": "1508014416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3957 BEACON RIDGE WAY",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347115333",
"telephone_number": "352-874-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OAKLEY SEAVER DR",
"address_2": "SUITE 204",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111958",
"telephone_number": "352-241-0347",
"fax_number": "352-243-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORONKA",
"first_name": "BRENDA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "M.S.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-04",
"last_updated": "2008-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.