Corebalance Therapy LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

COREBALANCE THERAPY LLC

Practice address

906 W University Ave
Suite 120
Flagstaff, AZ 86001

Phone

(928) 556-9935

Fax

(928) 774-4277

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Amy Flory, PT, DPT

Title

Co-Owner

Phone

(928) 556-9935

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Kaiser, DPT

  • Physical Therapist
  • Tucson, AZ
  • NPI 1396221644
  NPD
• Sarah Elizabeth Hudelson, PT

  • Physical Therapist
  • Flagstaff, AZ
  • NPI 1619036019
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1659572147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W UNIVERSITY AVE",
            "address_2": "SUITE 120",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-556-9935",
            "fax_number": "928-774-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W UNIVERSITY AVE",
            "address_2": "SUITE 120",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-556-9935",
            "fax_number": "928-774-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREBALANCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "FLORY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "928-556-9935",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "AZ0462940",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Corcoran, RPH
• Sherri Lynn Corcoran, MA, LPC
• Constance M Cordain, LMFT
• Reace A Corder, RBT
• Samuel E Cordivin, R.T.
• Margaret B Cornett, M.A.
• Linda Cornwall
• Marisol Corona, FNP-C
• Jeremy Corr
• Alexandra Correa

• Physical Medicine & Rehabilitation Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.