Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prathibha Koreka

Individual provider Physical Therapist · NPI 1124385901

Prathibha Koreka is a Physical Therapist in Private Practice in Dayton, New Jersey. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
22
Licensed in
NJ
In the registry since
2012

Practice location Address checks out

2245 US Highway 130 Ste 105
Dayton, NJ 08810-2420
Phone: (732) 609-7155
Fax: (609) 228-6173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01534600 (NJ)

Record details

NPI number1124385901
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2012
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address2245 Us Highway 130 Ste 105, Dayton, NJ 08810-2420

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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