Active NPI
Kore Rehab
- Physical Therapist
- Yucaipa, CA
National Provider Identifier
1063082899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- KORE REHAB
- Practice address
- 31776 Yucaipa Blvd Ste 8
Yucaipa, CA 92399-1653 - Phone
- (916) 276-4621
- NPI assigned
- Jun 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristofer Auer
- Title
- Owner
- Phone
- (916) 276-4621
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
31776 Yucaipa Blvd Ste 8
Yucaipa, CA 92399-1653
Mailing address
31776 Yucaipa Blvd Ste 8
Yucaipa, CA 92399-1653
Phone (916) 276-4621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
31776 Yucaipa Blvd
Ste 1
Yucaipa, CA 92399
Phone (916) 276-4621
31776 Yucaipa Blvd
Ste 8
Yucaipa, CA 92399
Phone (916) 276-4621
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624492800000",
"number": "1063082899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31776 YUCAIPA BLVD STE 8",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923991653",
"telephone_number": "916-276-4621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31776 YUCAIPA BLVD STE 8",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923991653",
"telephone_number": "916-276-4621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KORE REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-24",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A",
"authorized_official_last_name": "AUER",
"authorized_official_first_name": "KRISTOFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "916-276-4621"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucaipa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.