Individual provider Active NPI

Maria Dizon Correa, PT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1689736795
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2537 Issued in HI
Practice address
1901 N Union Blvd
Suite 202
Colorado Springs, CO 80909-2283
Phone
(719) 522-1080
Fax
(719) 522-0661
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2012

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 2537 HI Primary
Physical Therapist 225100000X 11066 CO

Addresses

Primary practice location

1901 N Union Blvd
Suite 202
Colorado Springs, CO 80909-2283

Mailing address

1901 N Union Blvd
Suite 202
Colorado Springs, CO 80909-2283
Phone (719) 522-1080

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
2537HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wahiawa Rehab Services Inc Physical Therapist PastSince Feb 22, 2010 Accepting new patients
PT Hawaii, Inc. PastSince Apr 23, 2015 Accepting new patients
Waipahu Physical Therapy, Inc Physical Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1689736795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N UNION BLVD",
            "address_2": "SUITE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092283",
            "telephone_number": "719-522-1080",
            "fax_number": "719-522-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N UNION BLVD",
            "address_2": "SUITE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092283",
            "telephone_number": "719-522-1080",
            "fax_number": "719-522-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "MARIA",
        "middle_name": "DIZON",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2537",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.