Kevin Carl Manabe Coriano

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

63812 Issued in OR

Practice address

631 Jason St NE
Salem, OR 97301-2357

Phone

(971) 301-6225

Fax

(971) 301-6230

NPI assigned

Aug 10, 2020

Sex

Male

Sole proprietor

Yes

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 OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Motion Physical Therapy, Inc.Group PAC ID 8426078361, 36 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.

• Healing Motion Physical Therapy, Inc.

  • Physical Therapist
  • Philomath, OR
  • NPI 1316919327
  Medicare reassignment Care Compare group NPD
• BPM Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • Salem, OR
  • NPI 1245390004
  Medicare reassignment NPD
• Pediatric Therapy Services Inc

  • Pediatric Occupational Therapist
  • Gresham, OR
  • NPI 1700842531
  NPD (past)

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1861003287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 JASON ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012357",
            "telephone_number": "971-301-6225",
            "fax_number": "971-301-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 JASON ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012357",
            "telephone_number": "971-301-6225",
            "fax_number": "971-301-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORIANO",
        "first_name": "KEVIN CARL",
        "middle_name": "MANABE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Patscal Cordon, ND, MPH, LMT
• Core Chiropractic, LLC, Dba: Core Sport and Spine
• Core Practice LLC
• Corey Bickler, DMD, LLC
• Montserrat Elidia Coria Corona
• Cornerstone Caregiving West LLC
• Elizabeth A Coronado-Sinclair, QMHP
• Marione Corpus
• Megan Corrado, DPT
• Eloise Cortal, ND

• Physical Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.