NPIMap

Organization Active NPI

Cora Health Services, Inc

Doing business as CORA Physical Therapy- Rolling Acres

  • Rehabilitation Clinic/Center
  • Lady Lake, FL
National Provider Identifier
1124951637
Registry record updated Jun 4, 2026
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- Rolling Acres
Practice address
539 Rolling Acres Rd
Lady Lake, FL 32159-5035
Phone
(352) 254-3367
Fax
(352) 254-3644
NPI assigned
Jun 4, 2026
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Stephanie Gutierrez
Title
Payer Relations
Phone
(419) 216-9913

Specialties & licenses 1

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

Addresses

Primary practice location

539 Rolling Acres Rd
Lady Lake, FL 32159-5035

Mailing address

3745 Shawnee Rd Ste 103
Lima, OH 45806-1660
Phone (419) 216-9913

Other names 1

  • CORA Physical Therapy- Rolling Acres Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190716000960 FL Part B Supplier - Clinic/Group Practice 1759290992 Receives reassigned benefits from 28 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winter Garden, FL; The Villages, FL; St Petersburg, FL; Palm Springs, FL; Ocala, FL; Orlando, FL; Belleview, FL; Boca Raton, FL…

Other NPIs on the same Medicare enrollment 18

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

View all 18

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1124951637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 SHAWNEE RD STE 103",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061660",
            "telephone_number": "419-216-9913",
            "fax_number": "567-301-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 ROLLING ACRES RD",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321595035",
            "telephone_number": "352-254-3367",
            "fax_number": "352-254-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORA HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PAYER RELATIONS",
        "authorized_official_telephone_number": "419-216-9913"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORA Physical Therapy- Rolling Acres",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lady Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.