NPIMap

Organization Active NPI

Carolina Physical Therapy Associates LLC

Doing business as CORA Physical Therapy - Fuquay-Varina

  • Rehabilitation Clinic/Center
  • Fuquay Varina, NC
National Provider Identifier
1447792148
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CAROLINA PHYSICAL THERAPY ASSOCIATES LLC
Doing business as
CORA Physical Therapy - Fuquay-Varina
Practice address
401 Attain Street
Suite 121
Fuquay Varina, NC 27526-2694
Phone
(919) 557-3017
Fax
(919) 557-3748
NPI assigned
Nov 11, 2016
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
Steve Krzyminski
Title
Exec VP
Phone
(419) 221-6717

Specialties & licenses 1

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

Addresses

Primary practice location

401 Attain Street
Suite 121
Fuquay Varina, NC 27526-2694

Mailing address

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

Other names 1

  • CORA Physical Therapy - Fuquay-Varina Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170714002357 NC Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 7012989684 7 other NPIs on this enrollment
Practice locations: Apex, NC; Chapel Hill, NC; Dunn, NC; Fuquay Varina, NC; Raleigh, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447792148. Details of each certification follow.

  • CCN 346682 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 346682

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-APEX
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Sep 21, 2017
Last certification
Sep 21, 2017
Ownership / control type
Proprietary
Facility address
401 Attain St
Fuquay Varina, NC 27526

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Tax ID family
Carolina Physical Therapy Associates LLC15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1447792148",
    "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": "401 ATTAIN STREET",
            "address_2": "SUITE 121",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262694",
            "telephone_number": "919-557-3017",
            "fax_number": "919-557-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PHYSICAL THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "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": "EXEC VP",
        "authorized_official_telephone_number": "419-221-6717"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORA Physical Therapy - Fuquay-Varina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CORA Physical Therapy - Fuquay-Varina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fuquay Varina, NC

Sources for this page

Verify at the official NPI Registry.