Professional Therapies of Roanoke, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PROFESSIONAL THERAPIES OF ROANOKE, INC.

Doing business as

CORA Physical Therapy - Stony Point

Practice address

3000G Stony Point Rd
Richmond, VA 23235-2349

Phone

(419) 221-6717

NPI assigned

May 23, 2023

Last updated

Oct 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Krzyminski

Title

Executive Vice President & Cfo

Phone

(419) 221-6717

Specialties & licenses 1

Addresses

Other names 1

• CORA Physical Therapy - Stony Point Doing business as

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 6

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

• Professional Therapies of Roanoke Inc.

  dba CORA Physical Therapy - Midlothian

  • Rehabilitation Clinic/Center
  • Midlothian, VA
  • NPI 1013667005

  O20190906002502, O20230426002687

  Same enrollment
• Professional Therapies of Roanoke, Inc.

  dba CORA Physical Therapy - Madison Heights

  • Rehabilitation Clinic/Center
  • Madison Heights, VA
  • NPI 1063282184

  O20190906002502, O20230426002687

  Same enrollment
• Professional Therapies of Roanoke, Inc.

  dba CORA Physical Therapy - North Bristol

  • Rehabilitation Clinic/Center
  • Bristol, VA
  • NPI 1093372781

  O20190906002502

  Same enrollment
• Professional Therapies of Roanoke, Inc.

  dba CORA Physical Therapy - Martinsville

  • Rehabilitation Clinic/Center
  • Martinsville, VA
  • NPI 1265008668

  O20190906002502

  Same enrollment
• Professional Therapies of Roanoke, Inc.

  dba CORA Physical Therapy - Danville

  • Rehabilitation Clinic/Center
  • Danville, VA
  • NPI 1427714286

  O20190906002502

  Same enrollment
• Professional Therapies of Roanoke, Inc.

  dba CORA Physical Therapy - Timberlake Road

  • Rehabilitation Clinic/Center
  • Lynchburg, VA
  • NPI 1528711579

  O20190906002502

  Same enrollment

Locations

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.

• Jordan Elizabeth Lazarus

  • Physical Therapist
  • Richmond, VA
  • NPI 1033971544
  NPD
• Carter Leake, PT, DPT

  • Physical Therapist
  • Richmond, VA
  • NPI 1205660461
  NPD

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1407548043",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000G STONY POINT RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232352349",
            "telephone_number": "419-221-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL THERAPIES OF ROANOKE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "KRZYMINSKI",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "419-221-6717"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORA Physical Therapy - Stony Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CORA Physical Therapy - Stony Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Clinic/Center in Richmond, VA
• Providers in Richmond, VA by specialty
• Rehabilitation Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.