Cora South Carolina LLC

Organization Active NPI Rehabilitation Clinic/Center · Greenwood, SC

NPI 1659871986 · NPPES record last updated Oct 19, 2023

Key facts

NPI
1659871986
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Clinic/Center 261QR0400X
Legal business name
CORA SOUTH CAROLINA LLC
Practice address
474 Bypass 72 NW Ste a
Greenwood, SC 29649-1404
Phone
(864) 210-9728
Fax
(864) 626-0797
NPI assigned
Feb 13, 2018
Organization subpart
No

Authorized official

Name
Stephen Krzyminski
Title
Executive Vice President
Phone
(419) 221-6717

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 19

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

Member of 1

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

Practitioners 242

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

View all 242

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20181112001403 SC Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3173766334 Practice locations: Greenwood, SC

National Provider Directory

Tax ID family
Cora Health Services Inc (20 organizations share this tax ID)

Locations

3293 Maybank Hwy
Unit 201
Johns Island, SC 29455
Phone (854) 800-9890

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X SC Yes

Addresses

Primary practice location

474 Bypass 72 NW Ste a
Greenwood, SC 29649-1404

Mailing address

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

Other names

  • CORA Physical Therapy - Greenwood Doing business as

Other providers in Greenwood, SC

All providers in Greenwood, SC · Rehabilitation Clinic/Center in South Carolina

Sources for this page

Verify at the official NPI Registry.