Cedar Mountain Chartered

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CEDAR MOUNTAIN CHARTERED

Practice address

720 Cortaro Dr
Sun City Center, FL 33573-6811

Phone

(347) 610-1688

NPI assigned

May 27, 2022

Organization subpart

No

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

Authorized official

Name

Robert Korody, MS PT LAC

Title

President

Phone

(347) 610-1688

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1154069276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "APOLLO PAIN MANAGEMENT",
            "address_2": "720 CORTARO DR",
            "city": "SUN CITY",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "347-610-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 CORTARO DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736811",
            "telephone_number": "347-610-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR MOUNTAIN CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "KORODY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-610-1688",
        "authorized_official_credential": "MS PT LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaci Carroll
• Michael George Caruso, MD
• Hector J Cases
• CCRC Opco - Sun City Center, LLC
• CCRC Opco - Sun City Center, LLC
• Center for Radiation Oncology of Tampa Bay in
• Darlene Marie Chamorro, DPT
• Renette Charles, ARNP
• Lori Chanelle Chase, PHYSICAL THERAPIST
• Kadambari Kishor Chavan, PT

• Physical Therapist in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.