Jonathon Corbacio, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01417100 Issued in NJ

Practice address

160 White Rd Ste 104
Little Silver, NJ 07739

Phone

(732) 383-8295

Fax

(732) 383-8370

NPI assigned

Nov 29, 2011

Sex

Male

Sole proprietor

No

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

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prime Physical Therapy and Sports Care LLCGroup PAC ID 9931447067, 4 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.

• Prime Physical Therapy & Sports Care LLC

  • Orthopedic Physical Therapist
  • Little Silver, NJ
  • NPI 1639642374
  Medicare reassignment Care Compare group NPD Authorized official
• Proactive Sports Care and Rehabilitation,PC

  • Physical Therapist
  • Little Silver, NJ
  • NPI 1619170040
  NPD

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1689941114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WHITE RD STE 104",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391167",
            "telephone_number": "732-383-8295",
            "fax_number": "732-383-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WHITE RD STE 104",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "07739",
            "telephone_number": "732-383-8295",
            "fax_number": "732-383-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBACIO",
        "first_name": "JONATHON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-29",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01417100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F Connors, DPM FACFO
• Julia Constantine, APN
• Erin Conway
• Catherine Cooper, LMFT
• Elise Marie Corasaniti, WHNP-BC, CNM
• Tammy Schlim Croak
• Yanibeth Cruz Ortiz, MD
• Daniela Cuppari
• Charles Dennison Curtis, MS, PT, DPT
• Liliana Rose Daneman, LSW

• Physical Therapist in Little Silver, NJ
• Providers in Little Silver, 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 Jan 6, 2023; 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.