Core Care Physical Therapy and Acupuncture,PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CORE CARE PHYSICAL THERAPY AND ACUPUNCTURE,PLLC

Practice address

1 Perlman Dr
Suite #101
Spring Valley, NY 10977-5281

Phone

(845) 517-3330

Fax

(845) 517-3331

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jiwon Park, PHYSICAL THERAPISTNPI 1437280161

Title

Manager

Phone

(201) 673-4154

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Core Care Physical Therapy and Acupuncture PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Core Care Physical Therapy and Acupuncture,PLLC

  • Physical Therapist
  • White Plains, NY
  • NPI 1700011921
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jiwon Park, D.P.T., L.AC.

  • Specialist
  • Spring Valley, NY
  • NPI 1437280161
  Medicare reassignment NPD Authorized official
• Alan NG, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Elmhurst, NY
  • NPI 1407953649
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1730213984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERLMAN DR",
            "address_2": "SUITE #101",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775281",
            "telephone_number": "845-517-3330",
            "fax_number": "845-517-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERLMAN DR",
            "address_2": "SUITE #101",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775281",
            "telephone_number": "845-517-3330",
            "fax_number": "845-517-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CARE PHYSICAL THERAPY AND ACUPUNCTURE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JIWON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-673-4154",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "002753-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "021333-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Dae Concepcion, LCSW
• Tamara Concepcion
• Congregation of Hillcrest
• Consultant Medical Care PC
• Kerrie Nanette Cooke, LPN
• Rachelle Coren, PT
• Marie Beatrice Coriolan, LPN
• Guernithe Cothia
• Angelica Craddock
• Jayliah Crandall

• Physical Therapist in Spring Valley, NY
• Providers in Spring Valley, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.