Individual provider Active NPI

Karl Kelly Korb, P.T.

  • Physical Therapist
  • Covington, KY
National Provider Identifier
1639456569
Registry record updated Nov 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002637 Issued in KY
Practice address
1610 Greenup St
Covington, KY 41011-3443
Phone
(513) 300-8930
Fax
(859) 431-2391
NPI assigned
Nov 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT002637 KY Primary
Physical Therapist 225100000X PT007099 OH

Addresses

Primary practice location

1610 Greenup St
Covington, KY 41011-3443

Mailing address

1610 Greenup St
Covington, KY 41011-3443
Phone (513) 300-8930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT002637KYMDPhysical Therapist
PT007099OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1320537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320537600000",
    "number": "1639456569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 GREENUP ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113443",
            "telephone_number": "513-300-8930",
            "fax_number": "859-431-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 GREENUP ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113443",
            "telephone_number": "513-300-8930",
            "fax_number": "859-431-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORB",
        "first_name": "KARL",
        "middle_name": "KELLY",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-06",
        "last_updated": "2011-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT002637",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT007099",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.