NPIMap

Organization Active NPI

Cora Health Services Inc

Doing business as CORA Physical Therapy - South Flagler

  • Rehabilitation Clinic/Center
  • Palm Coast, FL
National Provider Identifier
1306037924
Registry record updated Oct 19, 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 - South Flagler
CORA Rehabilitation Clinics - South Flagler
Practice address
80 Pinnacles Dr
BLDG. B, Suite 800
Palm Coast, FL 32164-2323
Phone
(386) 586-3133
Fax
(386) 586-3887
NPI assigned
Aug 8, 2007
Last updated
Oct 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 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

80 Pinnacles Dr
BLDG. B, Suite 800
Palm Coast, FL 32164-2323

Mailing address

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

Other names 2

  • CORA Physical Therapy - South Flagler Doing business as
  • CORA Rehabilitation Clinics - South Flagler Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051215000203 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1759290992 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palm Coast, FL; Port Orange, FL; St Augustine, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306037924. Details of each certification follow.

  • CCN 686711 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 686711

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CORA REHABILITATION CLINICS - SOUTH FLAGLER
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 22, 2003
Last certification
Aug 6, 2021
Ownership / control type
Proprietary
Facility address
80 Pinnacles Dr
Palm Coast, FL 32164

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
Cora Health117 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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1306037924",
    "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": "80 PINNACLES DR",
            "address_2": "BLDG. B, SUITE 800",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642323",
            "telephone_number": "386-586-3133",
            "fax_number": "386-586-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORA HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "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 - South Flagler",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CORA Rehabilitation Clinics - South Flagler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.