CORA HEALTH SERVICES INC (NPI# 1215966874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215966874 |
| Entity Type | Organization |
| Organization Name | CORA HEALTH SERVICES INC |
| Other Organization Name | CORA PHYSICAL THERPAY - CARROLLWOOD |
| Practice Address |
3633 W Waters Ave Unit 700 Tampa FL 33614-2783 |
| Mailing Address |
1110 Shawnee Road Lima OH 45805 |
| Practice Telephone | 8139325119 |
| Practice Fax Number | 8139325539 |
| Mailing Telephone | 4192216712 |
| Mailing Fax Number | 4192220507 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-01-18 |
| 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 | 884156039 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | QW1 | 01 |
| Other Name | Type Code |
|---|---|
| CORA Physical Therpay - Carrollwood | 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 |
3633 W WATERS AVE UNIT 700 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-2783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542012 | John Michael Bonilla Hernandez | Physical Therapist | 3633 W Waters Ave, Tampa, FL 33614-2783 | 2019-08-05 |
| 1083270839 | Andrea Lewis | Specialist/Technologist | 3633 W Waters Ave, Tampa, FL 33614-2783 | 2019-05-17 |
| 1356853089 | Ryan Lorraine Mcgoldrick-card | Occupational Therapy Assistant | 3633 W Waters Ave, Tampa, FL 33614-2783 | 2017-11-03 |
| 1417469297 | Kayla Kristine Turner | Physical Therapist | 3633 W Waters Ave, Tampa, FL 33614-2783 | 2017-11-01 |
| 1528577699 | Adler Dorvilus | Physical Therapist | 3633 W Waters Ave, Tampa, FL 33614 | 2017-09-21 |
| 1053770115 | Alyssa Sokolewicz | Specialist | 3633 W Waters Ave, Tampa, FL 33614-2783 | 2016-02-17 |
| 1750698106 | Jessica E Watterson | Physical Therapy Assistant | 3633 W Waters Ave, Tampa, FL 33614-2783 | 2010-09-07 |
| 1801997572 | Kearsten Ritchel Davis | Physical Therapist | 3633 W Waters Ave, Suite 700, Tampa, FL 33614-2783 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386185189 | Path Medical, LLC | Clinic/Center | 14824 N Florida Ave Ste A, Tampa, FL 33613-1844 | 2017-03-13 |
| 1558802579 | Path Medical, LLC | Clinic/Center | 4700 N Habana Ave Ste 100, Tampa, FL 33614-7116 | 2017-03-09 |
| 1780062919 | Memorial Medical Center Inc | Clinic/Center | 8001 N Dale Mabry Hwy Ste 501, Tampa, FL 33614-3265 | 2015-05-07 |
| 1306233002 | Sensational Rehab, LLC | Clinic/Center | 204 E Hanna Ave, Tampa, FL 33604-6719 | 2015-04-20 |
| 1245509751 | Cypress Wellness and Spa, Inc. | Clinic/Center | 3249 W Cypress St, Suite C, Tampa, FL 33607-5153 | 2011-12-29 |
| 1265755656 | Columbus Health Care | Clinic/Center | 3434 W Columbus Dr Ste 204, Tampa, FL 33607-1858 | 2010-03-12 |
| 1750613055 | Westport Holdings Tampa, Limited Partnership | Clinic/Center | 12401 N 22nd St, Tampa, FL 33612-4670 | 2010-02-11 |
| 1629307079 | American Rehab Clinic Inc | Clinic/Center | 4006 N Habana Ave, Suite 12, Tampa, FL 33614 | 2009-12-14 |
| 1639407638 | Lissmart Rehabilitation of Tampa,inc | Clinic/Center | 8130 W Waters Ave, 130, Tampa, FL 33615-1821 | 2009-12-02 |
| 1508199175 | Park Place Therapy,llc | Clinic/Center | 6802 N Armenia Ave Ste A, Tampa, FL 33604-5776 | 2009-09-14 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on CORA HEALTH SERVICES INC.
| 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.