Coremotion San Marco

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COREMOTION SAN MARCO

Practice address

3911 Hendricks Ave
Jacksonville, FL 32207-5305

Phone

(904) 776-0629

NPI assigned

Jun 23, 2026

Organization subpart

Yes

Parent organization

COREMOTION HOLDINGSAs reported in NPPES

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

Authorized official

Name

Shannon Henne, PT

Title

Owner

Phone

(678) 491-4729

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1801722186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 N ROSCOE BLVD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822144",
            "telephone_number": "678-491-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 HENDRICKS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075305",
            "telephone_number": "904-776-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREMOTION SAN MARCO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COREMOTION HOLDINGS",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "HENNE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-491-4729",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Alexis Cordova, MD
• Michael Cordova, M.D.
• Melissa Cordovi, ARNP
• Jacob Core, DO
• Corelifesolutions LLC
• Ryan Kindred Cork
• Brandy Corker
• Heather Corley
• James Weaver Corley IV, M.D.
• Jermaine Corley, LCSW

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.