CORA HEALTH SERVICES, INC. (NPI# 1093289894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093289894 |
| Entity Type | Organization |
| Organization Name | CORA HEALTH SERVICES, INC. |
| Practice Address |
18 Professional Village Cir Beaufort SC 29907-1570 |
| Mailing Address |
1110 Shawnee Rd Lima OH 45805-3529 |
| Practice Telephone | 8439869670 |
| Practice Fax Number | 8439869369 |
| Mailing Telephone | 4192216720 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | BRAD ROUSH (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4192216712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CORA Physical Therapy - Beaufort | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365496 | Cora Health Services, Inc. | Clinic/Center | 794 Blanding Blvd, Orange Park, FL 32065-5721 | 2020-10-29 |
| 1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
| 1841823739 | Cora Health Services, Inc. | Clinic/Center | 304 State Road 312, St Augustine, FL 32086-4242 | 2020-02-19 |
| 1427603729 | Cora Health Services, Inc. | Clinic/Center | 2150 Tamiami Trl Unit 9, Port Charlotte, FL 33948-2134 | 2019-08-05 |
| 1467013581 | Cora Health Services, Inc. | Clinic/Center | 5818 Hollywood Blvd, Hollywood, FL 33021-6316 | 2019-06-28 |
| 1306407457 | Cora Health Services, Inc. | Clinic/Center | 12420 Biscayne Blvd, North Miami, FL 33181-2521 | 2019-06-27 |
| 1912563156 | Cora Health Services, Inc. | Clinic/Center | 5036 Se 110th St Ste 103, Belleview, FL 34420-3759 | 2019-05-14 |
| 1073179255 | Cora Health Services, Inc. | Clinic/Center | 8768 Se 165th Mulberry Ln, The Villages, FL 32162-5861 | 2019-05-14 |
| 1073179321 | Cora Health Services, Inc. | Clinic/Center | 8449 Sw Highway 200 Ste 141, Ocala, FL 34481-9695 | 2019-05-13 |
| 1356801104 | Cora Health Services, Inc. | Clinic/Center | 465 Town Plaza Ave Ste B, Ponte Vedra Beach, FL 32081-5164 | 2019-03-20 |
| Street Address |
18 PROFESSIONAL VILLAGE CIR |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29907-1570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669660767 | Andrea Ottalee Tignor | Physical Therapist | 18 Professional Village Cir, Beaufort, SC 29907-1570 | 2007-10-15 |
| 1720695182 | Kristen Winslow Coy | Occupational Therapist | 18 Professional Village Cir, Beaufort, SC 29907-1570 | 2020-09-29 |
| 1346850807 | Rachel Schulte | Physical Therapist | 18 Professional Village Cir, Beaufort, SC 29907-1570 | 2020-08-08 |
| 1265071021 | Mitchell Declan Nestler | Physical Therapy Assistant | 18 Professional Village Cir, Beaufort, SC 29907-1570 | 2019-12-27 |
| 1558905059 | Rachael Burgess | Physical Therapy Assistant | 18 Professional Village Cir, Beaufort, SC 29907-1570 | 2019-10-29 |
| 1770135931 | John William Lippitt | Physical Therapist | 18 Professional Village Cir, Beaufort, SC 29907-1570 | 2019-07-09 |
| 1205336880 | Walker Smith | Physical Therapist | 18 Professional Village Cir, Beaufort, SC 29907-1570 | 2018-02-20 |
| 1811355977 | William Carl Stenack IIi | Physical Therapy Assistant | 18 Professional Village Cir, Beaufort, SC 29907-1570 | 2016-02-04 |
| 1831419803 | Kristin Lynn Mcclain | Occupational Therapist | 18 Professional Village Cir, Beaufort, SC 29907-1570 | 2010-06-01 |
| 1780914143 | Ernest Christopher Carlisle | Physical Therapist | 18 Professional Village Cir, Beaufort, SC 29907-1570 | 2010-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285069856 | Smiles By Wyles, LLC | Dentist | 27 A Kemmerlin Lane, Beaufort, SC 29907 | 2013-09-13 |
| 1578803847 | Earthfit Pt LLC | Clinic/Center | 39 Sams Point Rd, Beaufort, SC 29907 | 2013-02-25 |
| 1205130630 | Jane Shinder | Speech-Language Pathologist | 12 Sheridan Road, Beaufort, SC 29907 | 2010-12-28 |
| 1114109618 | Earl Bostick,sr. D.m.d & Assoc. P.a. | Dentist | 102 Sea Island Pwky, Suite J, Beaufort, SC 29907 | 2007-11-27 |
| 1568534782 | Jack M Mcgill Jr. | Dentist | 65 Sams Point Road, Beaufort, SC 29907 | 2006-11-14 |
| 1881612810 | Bruce Kevin Wyles | Dentist | 134 D Ladys Island Drive, Beaufort, SC 29907 | 2006-07-17 |
| 1295767572 | Philip A Cusumano | Internal Medicine | 117 Sea Island Parkway, Beaufort, SC 29907 | 2006-07-07 |
| 1255315024 | Julia B Hetherington | Occupational Therapist | 18 Professional Village Circle, Beaufort, SC 29907 | 2005-12-05 |
| 1780675603 | Heather Riessland Allen | Physician Assistant | 242 Ladys Island Dr, Beaufort, SC 29907 | 2005-10-31 |
| 1528547502 | David P. Babb, Dmd, LLC | Dentist | 109 Sea Island Pkwy, Beaufort, SC 29907 | 2018-08-09 |
| Find all providers in zip 29907 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861454050 | Select Physical Therapy Holdings Inc | Clinic/Center | 300 Mid Town Dr, Beaufort, SC 29906-5200 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057048 | Proactive Therapy of South Carolina Inc | Clinic/Center | 2114 Highway 41 Ste 104, Mount Pleasant, SC 29466-6204 | 2020-03-11 |
| 1073157673 | Physiotherapy Associates, Inc. | Clinic/Center | 334 E Martintown Rd Unit 3, North Augusta, SC 29841-4261 | 2019-11-06 |
| 1265073241 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 5232 Sunset Blvd Ste B, Lexington, SC 29072-9347 | 2019-10-01 |
| 1366008955 | Cora South Carolina LLC | Clinic/Center | 515 Carnes Crossing Blvd Ste B, Summerville, SC 29486-0412 | 2019-05-20 |
| 1013573849 | Ace Physio & Wellness LLC | Clinic/Center | 3031 Marlin Rd, Johns Island, SC 29455-3904 | 2019-05-16 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1215492129 | Cora South Carolina LLC | Clinic/Center | 2724 W Palmetto St Ste 2, Florence, SC 29501-4909 | 2019-02-05 |
| 1316421571 | Cora South Carolina LLC | Clinic/Center | 1907 N Highway 17 Ste 102, Mount Pleasant, SC 29464-9604 | 2018-09-24 |
| 1881177855 | Cora South Carolina LLC | Clinic/Center | 5625 Rivers Ave, North Charleston, SC 29406-6022 | 2018-09-14 |
| 1649751173 | Halcyon Rehabilitation, LLC | Clinic/Center | 2 Griffith Rd, Greenville, SC 29607-3503 | 2018-08-23 |
| 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.