Core Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CORE PHYSICAL THERAPY LLC

Practice address

9347 Founders St Ste a
Fort Mill, SC 29708-6417

Phone

(716) 465-0883

NPI assigned

Mar 9, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Kowalski, DPTNPI 1366786535

Title

Authorized Official/Owner

Phone

(716) 465-0883

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

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

• Thomas Kowalski, PT

  • Physical Therapist
  • Hamburg, NY
  • NPI 1366786535

  SC

  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Truong, DPT

  • Physical Therapist
  • Fort Mill, SC
  • NPI 1740830454
  Medicare reassignment Care Compare group NPD
• Taylor Marshall Simmons, DPT

  • Physical Therapist
  • Fort Mill, SC
  • NPI 1053892893
  Medicare reassignment NPD

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1689177222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9347 FOUNDERS ST STE A",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086417",
            "telephone_number": "716-465-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9347 FOUNDERS ST STE A",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086417",
            "telephone_number": "716-465-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "716-465-0883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Corbett
• Andrea Cordle, PT, ATC
• Kyra H Cordle, SLP
• Core Dentistry LLC
• Core I Med LLC
• Kathryn Corn, PT, DPT
• Kimberly Correa, FNP
• Corrective Chiropractic Fort Mill
• Costa Clinic of Chiropractic, LLC
• Michael Thomas Costa, D.C.

• Physical Therapist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.