Individual provider Active NPI

Corinna Marie Lau, DPT

  • Physical Therapist
  • Port Washington, NY
National Provider Identifier
1689806226
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031572 Issued in NY
Practice address
91 Country Club Dr
Port Washington, NY 11050-4535
Phone
(516) 808-7024
NPI assigned
Aug 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 031572 NY Primary

Addresses

Primary practice location

91 Country Club Dr
Port Washington, NY 11050-4535

Mailing address

91 Country Club Dr
Port Washington, NY 11050-4535
Phone (516) 808-7024

Other practice location 1

2043 Wellwood Ave
Farmingdale, NY 11735-1215
Phone (516) 243-7041

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221205001684 NY Practitioner - Physical Therapist in Private Practice 4486023066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Columbia University College of Physicians and Surgeons, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

91 Country Club Dr
Port Washington, NY 11050-4535
Phone (516) 243-7041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031572NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Perspectives Physical Therapy Physical Therapist CurrentSince Oct 4, 2022 Accepting new patients

Locations

2043 Wellwood Ave
Farmingdale, NY 11735
Phone (516) 243-7041

Organizations & group practices 1

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": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1689806226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 COUNTRY CLUB DR",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504535",
            "telephone_number": "516-808-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 COUNTRY CLUB DR",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504535",
            "telephone_number": "516-808-7024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2043 Wellwood Ave",
            "address_purpose": "LOCATION",
            "city": "Farmingdale",
            "state": "NY",
            "postal_code": "117351215",
            "country_code": "US",
            "telephone_number": "516-243-7041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAU",
        "first_name": "CORINNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-16",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.