Organization Active NPI

Cor Physical Therapy and Pilates Studio LLC

  • Physical Therapist
  • Augusta, GA
National Provider Identifier
1548976103
Registry record updated Mar 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COR PHYSICAL THERAPY AND PILATES STUDIO LLC
Practice address
3604 Verandah Dr Ste Aandb
Augusta, GA 30909-5608
Phone
(706) 250-0081
Fax
(762) 320-5338
NPI assigned
Jan 26, 2023
Last updated
Mar 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2023

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

Authorized official

Name
Ms. Yolanda AbernathyNPI 1558431270
Title
Owner
Phone
(706) 414-0991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Clinical Electrophysiology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251E1300X

Addresses

Primary practice location

3604 Verandah Dr Ste Aandb
Augusta, GA 30909-5608

Mailing address

2709 Butler PL
Augusta, GA 30909-3710
Phone (706) 414-0991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230425003053 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961867023 Receives reassigned benefits from 2 practitioners
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

Locations

3604 Verandah Dr
Augusta, GA 30909
Phone (706) 250-0081

3604 Verandah Dr
Ste A
Augusta, GA 30909
Phone (706) 250-0081

3604 Verandah Dr
Ste Ab
Augusta, GA 30909

3604 Verandah Dr
Ste B
Augusta, GA 30909
Phone (706) 250-0425

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679184000000",
    "number": "1548976103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 BUTLER PL",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093710",
            "telephone_number": "706-414-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 VERANDAH DR STE AANDB",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095608",
            "telephone_number": "706-250-0081",
            "fax_number": "762-320-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COR PHYSICAL THERAPY AND PILATES STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A",
        "authorized_official_last_name": "ABERNATHY",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-414-0991",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

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