Active NPI
Jonathan Korman
- Physical Therapist
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT210002504
- Practice address
- 3508 Connecticut Ave NW
Washington, DC 20008-2401 - Phone
- (202) 897-3890
- NPI assigned
- Sep 19, 2024
- Last updated
- Oct 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 30045 | MD | |
| Physical Therapist | 225100000X | PT210002504 | DC | Primary |
Addresses
Primary practice location
3508 Connecticut Ave NW
Washington, DC 20008-2401
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT210002504 | DC | MD | Physical Therapist |
| 30045 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Professional Sportscare & Rehab, LLC | Physical Therapist | Past | Accepting new patients |
Locations
3508 Connecticut Ave NW
Washington, DC 20008
Phone (202) 897-3890
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pivot Physical Therapy of Metro DC
- Clinic/Center
- Winchester, VA
- NPI 1033142294
DC, Physical Therapist
-
dba Pivot Physical Therapy of Metro DC
- Physical Therapist
- Washington, DC
- NPI 1245732924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1891522041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3508 CONNECTICUT AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200082401",
"telephone_number": "202-897-3890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORMAN",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-19",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "30045",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT210002504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.