Individual provider Active NPI

Cori M Wase, MSPT

  • Physical Therapist
  • Albany, NY
National Provider Identifier
1659526044
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030881 Issued in NY
Practice address
747 Madison Ave
Suite 1
Albany, NY 12208-3385
Phone
(518) 443-2279
Fax
(518) 443-7246
NPI assigned
Nov 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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 030881-1 NY
Physical Therapist 225100000X 030881 NY Primary

Addresses

Primary practice location

747 Madison Ave
Suite 1
Albany, NY 12208-3385

Mailing address

747 Madison Ave
Ste 1
Albany, NY 12208-3392
Phone (518) 489-2524

Other names 1

  • Cori M Wase Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220308001340 TN Practitioner - Physical Therapist in Private Practice 9436202827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1999 Rutledge Pike
Blaine, TN 37709-5003
Phone (865) 498-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030881-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Fisher Therapeutics CurrentSince Feb 1, 2024 Accepting new patients
Coxsackie Physical Therapy Associates, PC Physical Therapist PastSince Dec 1, 2003 Accepting new patients

Locations

203 Narrows Pkwy
Ste D
Birmingham, AL 35242
Phone (205) 719-2420

1999 Rutledge Pike
Blaine, TN 37709
Phone (865) 498-6900

1754 Decherd Blvd
Decherd, TN 37324
Phone (205) 607-0632

1229 Huntsville Hwy
Ste B
Fayetteville, TN 37334
Phone (205) 999-4622

7212 Kingston Pike
Ste 105
Knoxville, TN 37919
Phone (856) 770-5100

2606 Greenway Dr
Ste 301
Knoxville, TN 37918
Phone (865) 230-1128

Organizations & group practices 4

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": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1659526044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 MADISON AVE",
            "address_2": "STE 1",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083392",
            "telephone_number": "518-489-2524",
            "fax_number": "518-489-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MADISON AVE",
            "address_2": "SUITE 1",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083385",
            "telephone_number": "518-443-2279",
            "fax_number": "518-443-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASE",
        "first_name": "CORI",
        "middle_name": "M",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030881-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORI",
            "last_name": "WASE",
            "middle_name": "M",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.