Kyle Corrado

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01568500 Issued in NJ

Practice address

798 Route 539 Ste 2
Little Egg Harbor TWP, NJ 08087-4203

Phone

(609) 294-4720

NPI assigned

Aug 28, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, HI2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maxim Brain and SpineGroup PAC ID 1557712981, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maxim Brain and Spine

  • Neurological Surgery Physician
  • Cedar Knolls, NJ
  • NPI 1184326621
  Medicare reassignment Care Compare group NPD
• Impact Sports Inc

  • Physical Therapist
  • Lihue, HI
  • NPI 1245244912
  Medicare reassignment NPD
• Vista Pain Management, LLC

  • Pain Medicine Physician
  • Cedar Knolls, NJ
  • NPI 1306611876
  NPD (past)
• Pacific Eye Center, Inc

  • Ophthalmology Physician
  • Lihue, HI
  • NPI 1891891164
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1659771459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 ROUTE 539 STE 2",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080874203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 ROUTE 539 STE 2",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080874203",
            "telephone_number": "609-294-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRADO",
        "first_name": "KYLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01568500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Chapple, OT
• Stacey Childs, ATC
• Christina Joy Cofer, BCBA
• Community Options, Inc
• Community Options, Inc
• Abigael Coughlin
• Heather Crawford, D.P.M
• Ozcan Dalgic, PT
• Courtney Davison, LCSW
• Gianna Demarco, MSOTR/L

• Physical Therapist in Little Egg Harbor TWP, NJ
• Providers in Little Egg Harbor TWP, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.