Individual provider Active NPI

Anthony F Corso, MSPT

  • Physical Therapist
  • Hauppauge, NY
National Provider Identifier
1891869558
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010018 Issued in NY
Practice address
521 Route 111
Suite 107
Hauppauge, NY 11788-4370
Phone
(631) 724-9509
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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 010018 NY Primary

Addresses

Primary practice location

521 Route 111
Suite 107
Hauppauge, NY 11788-4370

Mailing address

521 Route 111
Suite 107
Hauppauge, NY 11788-4370
Phone (631) 724-9509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050113000918 NY Practitioner - Physical Therapist in Private Practice 4688586944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

521 Route 111
Hauppauge, NY 11788-4370
Phone (631) 724-9509

775 Park Ave
Huntington, NY 11743-3976
Phone (631) 396-1595

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010018NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2021 Accepting new patients
Rockville Anesthesia Group LLP PastSince Nov 4, 2003 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

521 Route 111
Ste 107
Hauppauge, NY 11788
Phone (631) 724-9505

775 Park Ave
Ste 150
Huntington, NY 11743
Phone (631) 396-1595

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

2375 New York Ave
#B
Huntington Station, NY 11746
Phone (631) 421-9191

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1891869558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ROUTE 111",
            "address_2": "SUITE 107",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884370",
            "telephone_number": "631-724-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ROUTE 111",
            "address_2": "SUITE 107",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884370",
            "telephone_number": "631-724-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSO",
        "first_name": "ANTHONY",
        "middle_name": "F",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.