Kyra Corradin

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1112 16TH St NW Ste 200
Washington, DC 20036-4818

Phone

(202) 223-1737

Fax

(202) 223-1738

NPI assigned

Aug 27, 2019

Sex

Female

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 DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Therapy and Rehabilitation LLCGroup PAC ID 8022403781, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Sports Therapy and Rehabilitation LLC

  • Physical Therapist
  • Washington, DC
  • NPI 1942955729
  Medicare reassignment Care Compare group NPD
• Sports Therapy and Rehabilitation,Inc

  • Physical Therapist
  • Washington, DC
  • NPI 1780611046
  NPD

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1851949671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 16TH ST NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200364818",
            "telephone_number": "202-223-1737",
            "fax_number": "202-223-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 16TH ST NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200364818",
            "telephone_number": "202-223-1737",
            "fax_number": "202-223-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRADIN",
        "first_name": "KYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Eugene Cornwell III, M.D.
• Keaira Cornwell
• Maria Coronado
• Maimouna Elle Corpening-Traore, MD
• Corporal Care Inc
• Richele L. Corrado, D.O., M.P.H.
• Mireya Kathleen Corrales
• Anne Margaret Corraro Fisher
• Nelly Correa Ramirez
• Ramon Correa, MD

• Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.