NPIMap

Organization Active NPI

First Physical Therapy LLC

Doing business as CORA Rehabilitation Clinics - Greenville

  • Rehabilitation Clinic/Center
  • Greenville, SC
National Provider Identifier
1891872941
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
FIRST PHYSICAL THERAPY LLC
Doing business as
CORA Rehabilitation Clinics - Greenville
Practice address
2709 Pelham Rd Ste a
Greenville, SC 29615-4083
Phone
(864) 242-1163
Fax
(864) 242-1167
NPI assigned
Nov 1, 2006
Last updated
Oct 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Stephen Krzyminski
Title
Executive Vice President
Phone
(419) 221-6717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X SC Primary

Addresses

Primary practice location

2709 Pelham Rd Ste a
Greenville, SC 29615-4083

Mailing address

PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717

Other names 1

  • CORA Rehabilitation Clinics - Greenville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140430001203 SC Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0244258028 6 other NPIs on this enrollment
Practice locations: Boiling Springs, SC; Duncan, SC; Easley, SC; Greenville, SC; Powdersville, SC; Simpsonville, SC; Spartanburg, SC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cora Physical Therapy12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3800 Forest Dr
Ste B101
Columbia, SC 29204
Phone (803) 764-2363

163 Charter Oak Rd
Lexington, SC 29072
Phone (803) 356-1551

551 E Main St
Ste 107
Spartanburg, SC 29302
Phone (864) 699-0418

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1891872941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458020150",
            "telephone_number": "419-221-6717",
            "fax_number": "419-222-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 PELHAM RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154083",
            "telephone_number": "864-242-1163",
            "fax_number": "864-242-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "KRZYMINSKI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "419-221-6717"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORA Rehabilitation Clinics - Greenville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CORA Rehabilitation Clinics - Greenville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.