NPIMap

Organization Active NPI

Cora Health Services Inc

Doing business as CORA Physical Therapy - East Pembroke Pines

  • Rehabilitation Clinic/Center
  • Pembroke Pines, FL
National Provider Identifier
1124051776
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CORA HEALTH SERVICES INC
Doing business as
CORA Physical Therapy - East Pembroke Pines
Practice address
881 NW 99TH Ave
Suite 28
Pembroke Pines, FL 33024-6162
Phone
(954) 437-8099
Fax
(954) 437-8156
NPI assigned
Jul 8, 2006
Last updated
Oct 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Mr. Stephen R Krzyminski
Title
Executive Vice President
Phone
(419) 221-6717

Specialties & licenses 1

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

Addresses

Primary practice location

881 NW 99TH Ave
Suite 28
Pembroke Pines, FL 33024-6162

Mailing address

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

Other names 1

  • CORA Physical Therapy - East Pembroke Pines Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040819001573 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1759290992 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coral Springs, FL; Pembroke Pines, FL; Miami Gardens, FL; Deerfield Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124051776. Details of each certification follow.

  • CCN 106677 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 106677

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CORA PHYSICAL THERAPY - EAST PEMBROKE PINES
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jul 31, 1987
Last certification
Apr 5, 2012
Ownership / control type
Proprietary
Facility address
881 NW 99TH Avenue
Pembroke Pines, FL 33024

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Tax ID family
Coral Heath Services Inc119 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Locations

881 NW 99th Ave
Ste 28
Pembroke Pines, FL 33024
Phone (954) 437-8099

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1124051776",
    "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",
            "fax_number": "419-222-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 NW 99TH AVE",
            "address_2": "SUITE 28",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246162",
            "telephone_number": "954-437-8099",
            "fax_number": "954-437-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORA HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "KRZYMINSKI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "419-221-6717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORA Physical Therapy - East Pembroke Pines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.