NPIMap

Organization Active NPI

Cora Rehabilitation

  • Preferred Provider Organization
  • West Palm Beach, FL
National Provider Identifier
1104995406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
PTA19316 Issued in FL
Legal business name
CORA REHABILITATION
Practice address
6901 Okeechobee Blvd
E2
West Palm Beach, FL 33411-2511
Phone
(561) 478-3702
Fax
(561) 478-3703
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Johnnie Lynn Puccio, PTA, LMT
Title
Physical Therapy Assistant
Phone
(561) 478-3702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X PTA19316 FL Primary

Addresses

Primary practice location

6901 Okeechobee Blvd
E2
West Palm Beach, FL 33411-2511

Mailing address

4345 Woodstock Dr
Unit B
West Palm Beach, FL 33409-2602
Phone (561) 371-1151

National Provider Directory

National Provider Directory
Tax ID family
Coral Heath Services Inc117 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

6901 Okeechobee Blvd
Ste E2
West Palm Beach, FL 33411
Phone (561) 478-3702

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104995406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 WOODSTOCK DR",
            "address_2": "UNIT B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092602",
            "telephone_number": "561-371-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 OKEECHOBEE BLVD",
            "address_2": "E2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112511",
            "telephone_number": "561-478-3702",
            "fax_number": "561-478-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORA REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUCCIO",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "561-478-3702",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA, LMT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "PTA19316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.