Christopher Wayne Gentilcore, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30873 Issued in FL

Practice address

346 E Royal Palm St Ste 1
Lake Placid, FL 33852-5055

Phone

(863) 465-9500

NPI assigned

Mar 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cora Health Services Inc

  • Rehabilitation Clinic/Center
  • Lake Placid, FL
  • NPI 1508899774
  NPD (past)
• Cora Health Services, Inc

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1144815465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 S 5TH AVE APT D207",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733154",
            "telephone_number": "541-297-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 E ROYAL PALM ST STE 1",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338525055",
            "telephone_number": "863-465-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILCORE",
        "first_name": "CHRISTOPHER",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Radiology Management LLC
• Diana Faye Folkner
• Functional Rehab Inc
• Gahc4 Balmoral FL TRS Sub, LLC
• Gary Pearce MD PA
• Gifted Hearts Home Care LLC
• Gigi'S Fresh Products LLC
• Randolph Giller
• Carlos Julio Gonzalez, MD
• Neville Graham Jr., MA.

• All providers in Lake Placid, FL
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.