Individual provider Active NPI

Teresa Grace Korenstein, MSPT

  • Physical Therapist
  • North Caldwell, NJ
National Provider Identifier
1730258757
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01137300 Issued in NJ
Practice address
16 Willowbrook Dr
North Caldwell, NJ 07006-4409
Phone
(201) 694-7738
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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 40QA01137300 NJ Primary

Addresses

Primary practice location

16 Willowbrook Dr
North Caldwell, NJ 07006-4409

Mailing address

16 Willowbrook Dr
North Caldwell, NJ 07006-4409
Phone (201) 694-7738

Other names 1

  • Teresa Santaniello Former name

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
40QA01137300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Spine and Physicaltherapy, Inc. Physical Therapist Past Accepting new patients
Madison Spine Limited Partnership Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1730258757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WILLOWBROOK DR",
            "city": "NORTH CALDWELL",
            "state": "NJ",
            "postal_code": "070064409",
            "telephone_number": "201-694-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WILLOWBROOK DR",
            "city": "NORTH CALDWELL",
            "state": "NJ",
            "postal_code": "070064409",
            "telephone_number": "201-694-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORENSTEIN",
        "first_name": "TERESA",
        "middle_name": "GRACE",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01137300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "SANTANIELLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.