Gimbo John Obfenda Corre, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

038996-1 Issued in NY

Practice address

7708 Broadway
Elmhurst, NY 11373-1927

Phone

(347) 806-7706

Fax

(631) 850-5637

NPI assigned

Oct 20, 2017

Sex

Male

Sole proprietor

No

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 NY

Enrollment records 1

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.

• Gimbo Corre Physical Therapy Rehabilitation Services, PC.

  • Physical Therapy Clinic/Center
  • Elmhurst, NY
  • NPI 1740886233
  Medicare reassignment Authorized official
• Physiocare Physical Therapy of New York PLLC

  • Rehabilitation Practitioner
  • New York, NY
  • NPI 1477200970

  Physical Therapist

  Medicare reassignment NPD
• Frank Zhan Best Physical Therapy P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1801089370
  NPD

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1992216675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CLINTON RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115306340",
            "telephone_number": "347-806-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7708 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731927",
            "telephone_number": "347-806-7706",
            "fax_number": "631-850-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRE",
        "first_name": "GIMBO JOHN",
        "middle_name": "OBFENDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-20",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038996-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Care PT PC
• George Nicholas Coritsidis, MD
• Corona Medical PC
• Kendryll Corpus
• Catherine Corrado-Lodi, OTR/L
• Julie Cortes
• Awilda Cortez Ben-Melech
• Adrian Cortez, CPHT
• Teresa Cortez
• Astride Cousineau, PA-C

• Physical Therapist in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.