CORA PHYSICAL THERAPY - SUMMERVILLE – NPI #1811638455
Clinic/Center

CORA PHYSICAL THERAPY - SUMMERVILLE is an AHC clinic located in SUMMERVILLE, SC. NPPES has assigned the NPI number 1811638455 to CORA PHYSICAL THERAPY - SUMMERVILLE on April 06, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CORA PHYSICAL THERAPY - SUMMERVILLE” is a dba name, the actual legal business name for this organization is CORA SOUTH CAROLINA LLC. The primary taxonomy selected by this provider is 261QR0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation

The NPI profile was previously updated about 3 years ago on Oct 04, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORA PHYSICAL THERAPY - SUMMERVILLE below.

NPI Profile for
CORA SOUTH CAROLINA LLC

NPI Number
1811638455
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORA SOUTH CAROLINA LLC
Doing Business As (dba): CORA PHYSICAL THERAPY - SUMMERVILLE
Primary location
1559 CENTRAL
SUMMERVILLE, SC 29483
Phone: (419) 221-6717 Fax: (419) 222-0507
Mailing address
PO BOX 150
LIMA, OH 45802-0150
Phone: (419) 221-9717 Fax: (419) 222-0507
Organization Subpart
No
Authorized Official
STEPHEN KRZYMINSKI
EXECUTIVE VP
Phone: (419) 221-6717
Updated
Certification Date
Oct 04, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0400X
- Clinic/Center / Rehabilitation (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.