Cora Health Services Inc
Organization Active NPI Rehabilitation Clinic/Center · Lakeland, FL
NPI 1790718963 · NPPES record last updated Oct 19, 2023
Key facts
- NPI
- 1790718963
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- CORA HEALTH SERVICES INC
- Practice address
- 3127 US Highway 98 N
Lakeland, FL 33805-2103 - Phone
- (863) 665-8881
- Fax
- (863) 665-8851
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen R. Krzyminski
- Title
- Executive Vice President
- Phone
- (419) 221-6717
Other NPIs on the same Medicare enrollment 14
Corporate family (same tax ID) 24
Practitioners 11
-
Melanie Lynn Frizzle, OTR/L
-
Keishla Jimenez Nieves, PT, DPT
-
Mary M Krell, PT
-
Danielle Nicole Martin, PT, DPT
-
Rachel Parrish, PTA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118000556 | FL | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 1759290992 |
16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Winter Haven, FL; Saint Cloud, FL; Orlando, FL; Longwood, FL; Lakeland, FL; Kissimmee, FL; Haines City, FL |
National Provider Directory
- Tax ID family
- Coral Heath Services Inc
Locations
3127 US Highway 98 N
Lakeland, FL 33805
Phone (863) 665-8881
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
3127 US Highway 98 N
Lakeland, FL 33805-2103
Mailing address
PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717
Other names
- CORA Physical Therapy - Lakeland
Other providers in Lakeland, FL
- Richard Anthony Cooper
- Suzanne Morgan Cooper
- Winnifred Copeland
- Christian J. Copley
- Cora Health Services Inc
- Patricia Corbin
- Ursula Selena Corbin
- Kimberly Ann Corbitt
- Steven Thomas Corcoran
- Carmen L. Cordero
All providers in Lakeland, FL · Rehabilitation Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.