Individual provider Active NPI

Rebecca Lynn Korosi, ATC, DPT

  • Physical Therapist
  • Buffalo, NY
National Provider Identifier
1891934568
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028660-1 Issued in NY
Practice address
800 Hertel Ave Ste 101
Buffalo, NY 14207-1906
Phone
(716) 566-5050
NPI assigned
Feb 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 001227-1 NY
Physical Therapist 225100000X 028660-1 NY Primary

Addresses

Primary practice location

800 Hertel Ave Ste 101
Buffalo, NY 14207-1906

Mailing address

800 Hertel Ave Ste 101
Buffalo, NY 14207-1906
Phone (716) 566-5050

Other practice location 1

800 Hertel Ave Ste 101
Buffalo, NY 14207-1906
Phone (716) 566-5050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090416000420 NY Practitioner - Physical Therapist in Private Practice 1850448499 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028660-1NYMDPhysical Therapist
001227-1NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
People Inc. CurrentSince Nov 20, 2021 Accepting new patients
Medical Practitioner Services of Wny PC CurrentSince Nov 20, 2021 Accepting new patients
People Inc CurrentSince Nov 20, 2021 Accepting new patients
People Inc Current Accepting new patients
Encompass Health Rehabilitation Hospital of Florence, Inc. Past Accepting new patients

Locations

800 Hertel Ave
Ste 101
Buffalo, NY 14207
Phone (716) 566-5007

800 Hertel Ave
Ste 104
Buffalo, NY 14207

800 Hertel Ave
#101
Buffalo, NY 14207
Phone (716) 566-5007

2128 Elmwood Ave
Buffalo, NY 14207
Phone (716) 874-4500

1219 N Forest Rd
Williamsville, NY 14221
Phone (716) 634-8152

Organizations & group practices 5

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": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1891934568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HERTEL AVE STE 101",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071906",
            "telephone_number": "716-566-5050",
            "fax_number": "718-862-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HERTEL AVE STE 101",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071906",
            "telephone_number": "716-566-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Hertel Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142071906",
            "country_code": "US",
            "telephone_number": "716-566-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOROSI",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "ATC, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001227-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028660-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.

Verify at the official NPI Registry.