Monroe Physical Therapy091

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

6498 Issued in NY

Legal business name

MONROE PHYSICAL THERAPY091

Practice address

845 State Route 17M
Monroe, NY 10950-1606

Phone

(845) 782-7780

Fax

(845) 782-9270

NPI assigned

Oct 20, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Mitchell J KornNPI 1255494811

Title

Physical Therapist

Phone

(845) 782-7780

Specialties & licenses 1

Addresses

Locations

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.

• Mitchell Joseph Korn, P.T.

  • Physical Therapist
  • Monroe, NY
  • NPI 1255494811
  Authorized official Same address or phone

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1689900037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501606",
            "telephone_number": "845-782-7780",
            "fax_number": "845-782-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501606",
            "telephone_number": "845-782-7780",
            "fax_number": "845-782-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE PHYSICAL THERAPY091",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "KORN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "845-782-7780",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "6498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monroe Dental Office PC
• Monroe Family Eyecare Associates, LLP (Monroe Family Eyecare)
• Monroe Orthotics & Prosthetics
• Monroe Pediatric Associates, P.C.
• Monroe Physical Therapy Wellness, PLLC (Access Physical Therapy & Wellness)
• Monroe Primary Care Medical PC
• Monroe Visions
• Monroe Volunteer Ambulance Corps Inc
• Mark Harlan Monte, PHYSICAL THERAPIST
• Montefiore Medical Center

• Clinic/Center in Monroe, NY
• Providers in Monroe, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.