NPIMap

Organization Active NPI

First Physical Therapy LLC

Doing business as CORA Rehabilitation Clinics - Batesburg

  • Rehabilitation Clinic/Center
  • Batesburg Leesville, SC
National Provider Identifier
1376972109
Registry record updated Oct 19, 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 Rehabilitation Clinics - Batesburg
Practice address
141 E Church St
Suite N
Batesburg-Leesville, SC 29070-7066
Phone
(803) 532-3335
Fax
(803) 532-3337
NPI assigned
Nov 2, 2013
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
Stephen Krzyminski
Title
Executive Vice President
Phone
(419) 221-6712

Specialties & licenses 1

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

Addresses

Primary practice location

141 E Church St
Suite N
Batesburg-Leesville, SC 29070-7066

Mailing address

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

Other names 1

  • CORA Rehabilitation Clinics - Batesburg Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140228000827 SC Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0244258028 2 other NPIs on this enrollment
Practice locations: Batesburg Leesville, SC; West Columbia, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376972109. Details of each certification follow.

  • CCN 426639 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 426639

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 PHYSICAL THERAPY WEST COLUMBIA
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
May 7, 2014
Last certification
Aug 2, 2023
Ownership / control type
Proprietary
Facility address
141 East Church Street, Suite N
Batesburg-Leesville, SC 29070

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

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.

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1376972109",
    "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": "141 E CHURCH ST",
            "address_2": "SUITE N",
            "city": "BATESBURG-LEESVILLE",
            "state": "SC",
            "postal_code": "290707066",
            "telephone_number": "803-532-3335",
            "fax_number": "803-532-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "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": "419-221-6712"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORA Rehabilitation Clinics - Batesburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CORA Rehabilitation Clinics - Batesburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesburg Leesville, SC

Sources for this page

Verify at the official NPI Registry.