Core Rehabilitation Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CORE REHABILITATION INC.

Practice address

2031 State Road 60 E
Lake Wales, FL 33898-5113

Phone

(863) 678-0705

Fax

(863) 678-0700

NPI assigned

Jun 4, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Joseph P Koloc, PTNPI 1780896084

Title

Owner

Phone

(863) 678-7005

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Joseph Patrick Koloc, MSPT

  • Orthopedic Physical Therapist
  • Lake Wales, FL
  • NPI 1780896084
  Medicare reassignment Care Compare group Authorized official
• Dave Aaron Dangan

  • Physical Therapist
  • Lake Wales, FL
  • NPI 1164021176
  Medicare reassignment Care Compare group NPD
• Caitlin Allondra Hammock

  • Physical Therapist
  • Haines City, FL
  • NPI 1699541227
  Medicare reassignment Care Compare group NPD
• Sarah Marie Solis Diaz

  • Physical Therapist
  • Winter Haven, FL
  • NPI 1396603080
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1710325469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338590111",
            "telephone_number": "863-678-0705",
            "fax_number": "863-678-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 STATE ROAD 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338985113",
            "telephone_number": "863-678-0705",
            "fax_number": "863-678-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Maxcy Plaza Cir",
            "address_purpose": "LOCATION",
            "city": "Haines City",
            "state": "FL",
            "postal_code": "338442488",
            "country_code": "US",
            "telephone_number": "863-421-2000",
            "fax_number": "863-421-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORE REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "KOLOC",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-678-7005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Victoria Crabb, PT
• Michael F Cunningham
• Patrick Dammar, PHARMD
• Dave Aaron Dangan

• Physical Therapist in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.