Cora Health Services, Inc.
Organization Active NPI Rehabilitation Clinic/Center · Riverview, FL
NPI 1366078032 · NPPES record last updated Sep 19, 2023
Key facts
- NPI
- 1366078032
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- CORA HEALTH SERVICES, INC.
- Practice address
- 11420 US Hwy 301 S
Riverview, FL 33578 - Phone
- (419) 221-6717
- Fax
- (419) 222-0507
- NPI assigned
- Mar 13, 2020
- Organization subpart
- No
Authorized official
- Name
- Stephen R Krzyminski
- Title
- Executive Vice President
- Phone
- (419) 221-6717
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150831000949 | FL | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 1759290992 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Sarasota, FL; Sun City Center, FL; Riverview, FL; Lakewood Ranch, FL |
National Provider Directory
- Tax ID family
- Coral Heath Services Inc
Locations
11420 US Highway 301 S
Riverview, FL 33578
Phone (813) 405-4383
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
11420 US Hwy 301 S
Riverview, FL 33578
Mailing address
PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717
Other names
- CORA Physical Therapy - Riverview
Other providers in Riverview, FL
- William Cooney
- Bobby Jean Cooper
- Lakeitha Cooper
- Madison Cooper
- Toisheka Cooper
- Angela L Corbett
- Amy Corbin
- Karlee Cornell
- Corinne Elissa Correa
- Dejuanna Oubre Corson
All providers in Riverview, FL · Rehabilitation Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.