NPIMap

Organization Active NPI

Cora Rehabilitation & Sports Medicine

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1235587395
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT31425 Issued in FL
Legal business name
CORA REHABILITATION & SPORTS MEDICINE
Practice address
6248 103Rd St
Jacksonville, FL 32210-7733
Phone
(904) 573-0046
Fax
(904) 573-0772
NPI assigned
May 31, 2016
Last updated
May 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Dr. Adrian Luis Perez, DPT
Title
Physical Therapist
Phone
(407) 729-3449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT31425 FL Primary

Addresses

Primary practice location

6248 103Rd St
Jacksonville, FL 32210-7733

Mailing address

6248 103Rd St
Jacksonville, FL 32210-7733
Phone (904) 573-0046

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1235587395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6248 103RD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107733",
            "telephone_number": "904-573-0046",
            "fax_number": "904-573-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6248 103RD ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107733",
            "telephone_number": "904-573-0046",
            "fax_number": "904-573-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORA REHABILITATION & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "407-729-3449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT31425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.