CORA PHYSICAL THERAPY - MUSKEGO – NPI #1881367464
Clinic/Center

CORA PHYSICAL THERAPY - MUSKEGO is an AHC clinic located in MUSKEGO, WI. NPPES has assigned the NPI number 1881367464 to CORA PHYSICAL THERAPY - MUSKEGO on July 29, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CORA PHYSICAL THERAPY - MUSKEGO” is a dba name, the actual legal business name for this organization is ADVANTAGE PHYSICAL THERAPY & SPORTS REHAB, 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 2 years ago on Feb 27, 2024. 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 - MUSKEGO below.

NPI Profile for
ADVANTAGE PHYSICAL THERAPY & SPORTS REHAB, LLC

NPI Number
1881367464
Enumeration Date

(about 5 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
ADVANTAGE PHYSICAL THERAPY & SPORTS REHAB, LLC
Doing Business As (dba): CORA PHYSICAL THERAPY - MUSKEGO
Primary location
S74W17045W JANESVILLE RD
MUSKEGO, WI 53150
Phone: (414) 422-4678 Fax: (419) 222-0507
Mailing address
PO BOX 150
LIMA, OH 45802-0150
Phone: (419) 221-6717 Fax: (419) 222-0507
Organization Subpart
No
Authorized Official
STEVE KRZYMINSKI
EXECUTIVE VP
Phone: (419) 221-6717
Updated
Certification Date
Feb 27, 2024

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.

Identifiers

Identifiers for CORA PHYSICAL THERAPY - MUSKEGO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWI100218701
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.