NPIMap

Organization Active NPI

First Physical Therapy LLC

Doing business as CORA Physical Therapy - Spartanburg

  • Rehabilitation Clinic/Center
  • Spartanburg, SC
National Provider Identifier
1366869505
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
FIRST PHYSICAL THERAPY LLC
Doing business as
CORA Physical Therapy - Spartanburg
CORA Rehabilitation Clinics - Spartanburg
Practice address
551 E Main St
Suite 107
Spartanburg, SC 29302-1678
Phone
(864) 699-0418
Fax
(864) 699-0420
NPI assigned
Mar 26, 2014
Last updated
Oct 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 SC Primary

Addresses

Primary practice location

551 E Main St
Suite 107
Spartanburg, SC 29302-1678

Mailing address

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

Other names 2

  • CORA Physical Therapy - Spartanburg Doing business as
  • CORA Rehabilitation Clinics - Spartanburg Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140430001203 SC Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0244258028 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boiling Springs, SC; Duncan, SC; Easley, SC; Greenville, SC; Powdersville, SC; Simpsonville, SC; Spartanburg, SC

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Cora Physical Therapy12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1366869505",
    "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": "551 E MAIN ST",
            "address_2": "SUITE 107",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021678",
            "telephone_number": "864-699-0418",
            "fax_number": "864-699-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "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": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORA Physical Therapy - Spartanburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CORA Rehabilitation Clinics - Spartanburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.