Individual provider Active NPI

Kevin Corrigan, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1881675403
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025296-1 Issued in NY
Practice address
1395 Lexington Ave
Mezzanine Level
New York, NY 10128-1612
Phone
(646) 707-0400
Fax
(646) 707-0380
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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 025296-1 NY Primary

Addresses

Primary practice location

1395 Lexington Ave
Mezzanine Level
New York, NY 10128-1612

Mailing address

1395 Lexington Ave
Mezzanine Level
New York, NY 10128-1612
Phone (646) 707-0400

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
025296-1NYMDPhysical Therapist
025296NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Physical Therapy Physical Therapist PastSince Jun 20, 1999 Accepting new patients
Back to Sports Physical Therapy, P.C. Physical Therapist PastSince Jul 13, 2012 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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1881675403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 LEXINGTON AVE",
            "address_2": "MEZZANINE LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281612",
            "telephone_number": "646-707-0400",
            "fax_number": "646-707-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 LEXINGTON AVE",
            "address_2": "MEZZANINE LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281612",
            "telephone_number": "646-707-0400",
            "fax_number": "646-707-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRIGAN",
        "first_name": "KEVIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025296-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.