NPIMap

Organization Active NPI

Professional Therapies of Roanoke, Inc.

Doing business as CORA Physical Therapy - Madison Heights

  • Rehabilitation Clinic/Center
  • Madison Heights, VA
National Provider Identifier
1063282184
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PROFESSIONAL THERAPIES OF ROANOKE, INC.
Doing business as
CORA Physical Therapy - Madison Heights
Practice address
216 Amelon SQ Ste 7
Madison Heights, VA 24572-5981
Phone
(419) 221-6717
NPI assigned
Jan 9, 2024
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Steve Krzyminski
Title
Executive Vice President
Phone
(419) 221-6731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

216 Amelon SQ Ste 7
Madison Heights, VA 24572-5981

Mailing address

PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717

Other names 1

  • CORA Physical Therapy - Madison Heights Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20190906002502 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375710619 Receives reassigned benefits from 15 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bristol, VA; Danville, VA; Lynchburg, VA; Madison Heights, VA; Martinsville, VA; Midlothian, VA; Richmond, VA
O20230426002687 VA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3375710619 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Madison Heights, VA; Midlothian, VA; Richmond, VA
O20230428002673 VA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3375710619 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lynchburg, VA; Madison Heights, VA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Blacksburg Physical Therapy Associates11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1997 S Main St
Ste 601
Blacksburg, VA 24060
Phone (540) 961-1230

80 College St
Ste E
Christiansburg, VA 24073
Phone (540) 251-3472

65 Shenandoah Ave
Ste 201
Daleville, VA 24083
Phone (540) 591-7514

165 Holt Garrison Pkwy
Danville, VA 24540
Phone (434) 688-0163

13307 Booker T Washington Hwy
Hardy, VA 24101
Phone (540) 721-4199

216 Amelon Sq
Madison Heights, VA 24572
Phone (434) 225-4210

4860 Rucker Rd
Ste 2
Moneta, VA 24121
Phone (540) 297-7867

267 Alleghany Spring Rd
Rm 11A
Shawsville, VA 24162
Phone (540) 382-1492

Practitioners & affiliated clinicians

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1063282184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458020150",
            "telephone_number": "419-221-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 AMELON SQ STE 7",
            "city": "MADISON HEIGHTS",
            "state": "VA",
            "postal_code": "245725981",
            "telephone_number": "419-221-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL THERAPIES OF ROANOKE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "KRZYMINSKI",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "419-221-6731"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORA Physical Therapy - Madison Heights",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CORA Physical Therapy - Madison Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.