NPIMap

Organization Active NPI

Cora North Carolina, LLC

Doing business as CORA Physical Therapy - Wilmington

  • Rehabilitation Clinic/Center
  • Wilmington, NC
National Provider Identifier
1467964189
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CORA NORTH CAROLINA, LLC
Doing business as
CORA Physical Therapy - Wilmington
Practice address
1115 Military Cutoff Rd Ste a
Wilmington, NC 28405-3660
Phone
(910) 256-6999
Fax
(910) 256-4777
NPI assigned
Nov 3, 2017
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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

1115 Military Cutoff Rd Ste a
Wilmington, NC 28405-3660

Mailing address

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

Other names 1

  • CORA Physical Therapy - Wilmington Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180125000702 NC Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9133498207 Practice locations: Wilmington, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467964189. Details of each certification follow.

  • CCN 346689 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 346689

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 WILMINGTON
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Dec 5, 2018
Last certification
May 7, 2025
Ownership / control type
Proprietary
Facility address
1115 Military Cutoff Road
Wilmington, NC 28405

National Provider Directory

National Provider Directory

Member of 1

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

Member organizations 7

Organizations listed as members of this organization in the National Provider Directory.

Locations

1115 Military Cutoff Rd
Ste A
Wilmington, NC 28405
Phone (910) 256-6999

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1467964189",
    "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": "1115 MILITARY CUTOFF RD STE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053660",
            "telephone_number": "910-256-6999",
            "fax_number": "910-256-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORA NORTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "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 - Wilmington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CORA Physical Therapy - Wilmington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.