CORA HEALTH SERVICES INC (NPI# 1366475550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366475550 |
| Entity Type | Organization |
| Organization Name | CORA HEALTH SERVICES INC |
| Other Organization Name | CORA PHYSICAL THERAPY - KISSIMMEE |
| Practice Address |
1207 N Central Ave Kissimmee FL 34741 |
| Mailing Address |
1110 Shawnee Road Lima OH 45805 |
| Practice Telephone | 4078705959 |
| Practice Fax Number | 4079336468 |
| Mailing Telephone | 4192216712 |
| Mailing Fax Number | 4192220507 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2018-05-18 |
| Authorized Official Name | MR. BRAD C. ROUSH (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4192216712 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORA HEALTH SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 8841560-99 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | RZ8 | 01 |
| Other Name | Type Code |
|---|---|
| CORA Physical Therapy - Kissimmee | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962990317 | Cora Health Services Inc | Clinic/Center | 801 N Orange Ave Ste 700, Orlando, FL 32801-5202 | 2018-05-01 |
| 1649785064 | Cora Health Services Inc | Clinic/Center | 24851 S Tamiami Trl Ste 1, Bonita Springs, FL 34134-7024 | 2017-12-07 |
| 1437661683 | Cora Health Services Inc | Clinic/Center | 6790 Coral Way, Miami, FL 33155-1702 | 2017-10-27 |
| 1548772049 | Cora Health Services Inc | Clinic/Center | 15449 Sw 137th Ave, Miami, FL 33177-1279 | 2017-10-25 |
| 1629597463 | Cora Health Services Inc | Clinic/Center | 1994 State Road 44 Ste 2, New Smyrna Beach, FL 32168-8349 | 2017-09-13 |
| 1427575273 | Cora Health Services Inc | Clinic/Center | 19100 S Tamiami Trl Ste 4, Fort Myers, FL 33908-1011 | 2017-08-23 |
| 1427579291 | Cora Health Services Inc | Clinic/Center | 8615 S Tamiami Trl, Sarasota, FL 34238-3052 | 2017-07-03 |
| 1689194326 | Cora Health Services Inc | Clinic/Center | 3317 Us Highway 98 S Ste 5, Lakeland, FL 33803-8316 | 2017-06-23 |
| 1679009997 | Cora Health Services Inc | Clinic/Center | 1114 Bichara Blvd, The Villages, FL 32159-7716 | 2017-05-05 |
| 1396283941 | Cora Health Services Inc | Clinic/Center | 15255 Max Leggett Pkwy Ste 5300, Jacksonville, FL 32218-7274 | 2017-02-03 |
| Street Address |
1207 N CENTRAL AVE |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645120 | Eleyn Fangonilo | Physical Therapist | 1207 N Central Ave, Kissimmee, FL 34741-4407 | 2020-09-25 |
| 1104471770 | Javier Perez | Physical Therapist | 1207 N Central Ave, Kissimmee, FL 34741-4407 | 2019-08-09 |
| 1659936946 | Jessica Olechowicz | Student in an Organized Health Care Education/Training Program | 1207 N Central Ave, Kissimmee, FL 34741-4407 | 2019-05-02 |
| 1669944302 | Eric Vazquez | Physical Therapy Assistant | 1207 N Central Ave, Kissimmee, FL 34741-4407 | 2018-12-19 |
| 1801375803 | Emanuelly Maria Schubauer | Physical Therapist | 1207 N Central Ave, Kissimmee, FL 34741-4407 | 2018-08-09 |
| 1902254774 | Irene Khair | Physical Therapist | 1207 N Central Ave, Kissimmee, FL 34741-4407 | 2016-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598794141 | Cora Health Services Inc | Clinic/Center | 3350 West Southport Road, Kissimmee, FL 34746-2706 | 2006-07-03 |
| 1366042491 | Genesis Health Development, Inc. | Clinic/Center | 1172 W Osceola Pkwy, Kissimmee, FL 34741-7515 | 2020-10-28 |
| 1568819878 | Iglesia Bautista Central De Kissimmee, Inc. | Clinic/Center | 2275 Fortune Rd, Kissimmee, FL 34744-4404 | 2016-05-17 |
| 1447489471 | St Mark Rehab Services Inc | Clinic/Center | 100 N John Young Pkwy, Kissimmee, FL 34741-5409 | 2009-07-12 |
| 1144315391 | Sunshine Physical Therapy & Fitness Center Inc | Clinic/Center | 801 W Oak St Ste 104, Kissimmee, FL 34741-6605 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365496 | Cora Health Services, Inc. | Clinic/Center | 794 Blanding Blvd, Orange Park, FL 32065-5721 | 2020-10-29 |
| 1508466707 | A1a Physical Therapy, LLC | Clinic/Center | 8 Ocean Trace Rd, Saint Augustine, FL 32080-6972 | 2020-10-27 |
| 1891394078 | Rehabclinics Pta, Inc. | Clinic/Center | 12543 Miramar Pkwy, Miramar, FL 33027-2909 | 2020-10-20 |
| 1952918369 | Bayit Therapy LLC | Clinic/Center | 4699 N Federal Hwy Ste 101g, Pompano Beach, FL 33064-6510 | 2020-09-29 |
| 1205440815 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3511 Vanderbilt Beach Rd, Naples, FL 34109-1342 | 2020-09-01 |
| 1275147043 | Sensei Medical Center Inc | Clinic/Center | 6500 W 4th Ave Ste 31, Hialeah, FL 33012-6606 | 2020-08-31 |
| 1649894361 | Yemaya Medical Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206a, Miami, FL 33135-5603 | 2020-05-29 |
| 1336769801 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 484 Riverside Ave, Jacksonville, FL 32202-4912 | 2020-04-24 |
| 1649806787 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 111 N County Highway 393 Ste 201, Santa Rosa Beach, FL 32459-5366 | 2020-03-20 |
| 1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.