NPIMap

Organization Active NPI

Cora Health Services Inc

Doing business as CORA Physical Therapy - Palm Beach Gardens

  • Rehabilitation Clinic/Center
  • Palm Beach Gardens, FL
National Provider Identifier
1265478689
Registry record updated Oct 4, 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 - Palm Beach Gardens
Practice address
3450 Northlake Blvd
Suite 101
Palm Beach Gardens, FL 33403-1709
Phone
(561) 625-2775
Fax
(561) 625-2776
NPI assigned
Jun 22, 2006
Last updated
Oct 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

3450 Northlake Blvd
Suite 101
Palm Beach Gardens, FL 33403-1709

Mailing address

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

Other names 1

  • CORA Physical Therapy - Palm Beach Gardens Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031118000561 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1759290992 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palm Springs, FL; West Palm Beach, FL; Delray Beach, FL; Boynton Beach, FL; Boca Raton, FL
O20040116000281 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1759290992 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palm Beach Gardens, FL; Port St Lucie, FL; Stuart, FL

Other NPIs on the same Medicare enrollment 10

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

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1265478689",
    "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": "3450 NORTHLAKE BLVD",
            "address_2": "SUITE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031709",
            "telephone_number": "561-625-2775",
            "fax_number": "561-625-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORA HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "KRZYMINSKI",
        "authorized_official_first_name": "STEPHEN",
        "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 - Palm Beach Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.