Organization Active NPI

Core Access Therapies Inc

  • Physical Therapist
  • Canton, NY
National Provider Identifier
1669036463
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CORE ACCESS THERAPIES INC
Practice address
19 Hodskin St Ste 1
Canton, NY 13617-1175
Phone
(315) 212-2585
NPI assigned
Apr 26, 2019
Last updated
Apr 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Authorized official

Name
Dr. William Rodolfo PenaNPI 1811974082
Title
President/ Owner
Phone
(315) 212-2585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

19 Hodskin St Ste 1
Canton, NY 13617-1175

Mailing address

19 Hodskin St Ste 1
Canton, NY 13617-1175
Phone (315) 212-2585

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1669036463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HODSKIN ST STE 1",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171175",
            "telephone_number": "315-212-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HODSKIN ST STE 1",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171175",
            "telephone_number": "315-212-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE ACCESS THERAPIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RODOLFO",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "315-212-2585",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.