Active NPI
Cora Health Services Inc
- Rehabilitation Clinic/Center
- The Villages, FL
National Provider Identifier
1679009997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- CORA HEALTH SERVICES INC
- Practice address
- 1114 Bichara Blvd
The Villages, FL 32159-7716 - Phone
- (407) 829-7311
- Fax
- (407) 829-7805
- NPI assigned
- May 5, 2017
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Stephen R Krzyminski
- Title
- Executive Vice President
- Phone
- (419) 221-6717
Other NPIs on the same Medicare enrollment 27
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Rehabilitation Clinic/Center
- Orange City, FL
- NPI 1538192182
O20030317000032
-
- Rehabilitation Clinic/Center
- New Smyrna Beach, FL
- NPI 1629597463
O20030317000032
-
- Rehabilitation Clinic/Center
- The Villages, FL
- NPI 1134710908
O20190719002175
-
- Rehabilitation Clinic/Center
- St Petersburg, FL
- NPI 1023976826
O20190716000960
-
- Rehabilitation Clinic/Center
- Winter Garden, FL
- NPI 1104786805
O20190716000960
Other NPIs with the same Medicare PAC ID 20
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Practitioners 1,147
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030317000032 | FL | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 1759290992 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lake Mary, FL; Deland, FL; Tavares, FL; New Smyrna Beach, FL; Orange City, FL |
| O20190716000960 | FL | Part B Supplier - Clinic/Group Practice | 1759290992 |
Receives reassigned benefits from 28 practitioners 18 other NPIs on this enrollment Practice locations: Winter Garden, FL; The Villages, FL; St Petersburg, FL; Palm Springs, FL; Ocala, FL; Orlando, FL; Belleview, FL; Boca Raton, FL… |
| O20190719002175 | FL | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 1759290992 |
11 other NPIs on this enrollment Practice locations: The Villages, FL; Ocala, FL; Leesburg, FL; Hernando, FL; Dunnellon, FL; Belleview, FL |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1114 Bichara Blvd
The Villages, FL 32159-7716
Mailing address
PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717
Other names 1
NPPES NPI Registry- CORA Physical Therapy - Spanish Springs
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2023.
{
"created_epoch": "1493942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695081600000",
"number": "1679009997",
"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": "1114 BICHARA BLVD",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321597716",
"telephone_number": "407-829-7311",
"fax_number": "407-829-7805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORA HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-05",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A",
"authorized_official_last_name": "KRZYMINSKI",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "419-221-6717",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CORA Physical Therapy - Spanish Springs",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CORA Physical Therapy - Spanish Springs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.