NPIMap

Organization Active NPI

FCHR PA

  • Physical Therapist
  • Clermont, FL
National Provider Identifier
1760427975
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20389 Issued in FL
Legal business name
FCHR PA
Practice address
627 8TH St
Clermont, FL 34711-2159
Phone
(352) 243-4422
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Mr. Luke T Kron, PTNPI 1861420242
Title
President
Phone
(352) 243-9341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT20389 FL Primary

Addresses

Primary practice location

627 8TH St
Clermont, FL 34711-2159

Mailing address

PO Box 135366
Clermont, FL 34713-5366
Phone (352) 243-9341

Other practice location 1

1529 Sunrise Plaza Dr Ste 6
Clermont, FL 34714-6202
Phone (352) 243-9341

Other identifiers 1

IdentifierTypeStateIssuer
Y911QOtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Four Corners Health & Rehabilitation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050217000554 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9638121684 Receives reassigned benefits from 16 practitioners
Practice locations: Clermont, FL

National Provider Directory

National Provider Directory

Locations

1050 US Highway 27
Ste 15
Clermont, FL 34714
Phone (352) 243-9341

1529 Sunrise Plaza Dr
Ste 4
Clermont, FL 34714
Phone (352) 243-9341

Practitioners & affiliated clinicians

Practitioners 65

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

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1760427975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135366",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347135366",
            "telephone_number": "352-243-9341",
            "fax_number": "352-243-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 8TH ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112159",
            "telephone_number": "352-243-4422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1529 Sunrise Plaza Dr Ste 6",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347146202",
            "country_code": "US",
            "telephone_number": "352-243-9341",
            "fax_number": "352-243-8293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FCHR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "KRON",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-243-9341",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y911Q",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Corners Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Four Corners Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.