CORA HEALTH SERVICES INC (NPI# 1225061492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225061492 |
| Entity Type | Organization |
| Organization Name | CORA HEALTH SERVICES INC |
| Other Organization Name | CORA PHYSICAL THERAPY - WATERFORD LAKES |
| Practice Address |
12184 Lake Underhill Rd Orlando FL 32825-5012 |
| Mailing Address |
1110 Shawnee Road Lima OH 45805 |
| Practice Telephone | 4073823777 |
| Practice Fax Number | 4073829880 |
| Mailing Telephone | 4192216712 |
| Mailing Fax Number | 4192220507 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2018-11-16 |
| Authorized Official Name | MR. BRAD C 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | QZ2 | 01 |
| Other Name | Type Code |
|---|---|
| CORA Physical Therapy - Waterford Lakes | 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 |
12184 LAKE UNDERHILL RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32825-5012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851704704 | Brittany Wycoff | Physical Therapist | 12184 Lake Underhill Rd, Orlando, FL 32825-5012 | 2014-06-09 |
| 1336463751 | Vyoma Patel | Physical Therapist | 12184 Lake Underhill Rd, Orlando, FL 32825-5012 | 2010-03-15 |
| 1780816850 | Jordan Birkhead Cuenin | Physical Therapist | 12184 Lake Underhill Rd, Orlando, FL 32825-5012 | 2009-08-21 |
| 1497875702 | Patrick Herbert Schlager | Physical Therapist | 12184 Lake Underhill Rd, Orlando, FL 32825-5012 | 2007-03-30 |
| 1548388804 | Rufus Boykin IIi | Physical Therapist | 12184 Lake Underhill Rd, Orlando, FL 32825-5012 | 2007-03-26 |
| 1912037565 | Barbara Garcia | Physical Therapy Assistant | 12184 Lake Underhill Rd, Orlando, FL 32825-5012 | 2007-03-06 |
| 1528198108 | Britt M Mccarthy | Physical Therapy Assistant | 12184 Lake Underhill Rd, Orlando, FL 32825-5012 | 2007-03-06 |
| 1679616015 | Matthew Todd Hand | Physical Therapist | 12184 Lake Underhill Rd, Orlando, FL 32825-5012 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255404 | Planes Dental East Orlando | Clinic/Center | 275 S Chickasaw Trail, Suite 2, Orlando, FL 32825 | 2019-06-25 |
| 1649837550 | Jessica Rivera | Social Worker | 10600 Bloomfield Drive, Apt 918, Orlando, FL 32825 | 2019-05-27 |
| 1326526708 | Total Family Care LLC | Family Medicine | 106 North Dean Road, Suite 1, Orlando, FL 32825 | 2018-07-30 |
| 1285121772 | Neurological Health Associates, L.L.C. | Psychiatry & Neurology | 11602 Lake Underhill Rd., Suite 104, Orlando, FL 32825 | 2018-04-19 |
| 1336636075 | Vijaya Laxmi Telu | Nurse Practitioner | 100 North Dean Rd Suite 101, Orlando, FL 32825 | 2018-04-18 |
| 1740795053 | Anna Louise Morris | Specialist/Technologist | 10719 Fairhaven Way, Orlando, FL 32825 | 2017-12-08 |
| 1568973352 | Darrenn G Cadet | Behavior Technician | 11121 Tortuga Bnd, Orlando, FL 32825 | 2017-10-19 |
| 1265942072 | Raquel B Saliba | Physical Therapist | 250 South Chickasaw Trail, Orlando, FL 32825 | 2017-10-06 |
| 1528585890 | Vreny Tatyana Gonzalez-casas | Behavior Technician | 3206 Mattson Dr, Orlando, FL 32825 | 2017-08-27 |
| 1184147803 | Alexandra Grace Mcmanus | Social Worker | 11258 Point Sylvan Circle, Orlando, FL 32825 | 2017-07-25 |
| Find all providers in zip 32825 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| 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 |
| 1346786621 | Kimkesi Morgan | Clinic/Center | 14365 Queenside St, Orlando, FL 32824 | 2017-01-11 |
| 1013372648 | La De Da Body Spa, LLC | Clinic/Center | 2022 E Robinson St, Orlando, FL 32803-6045 | 2015-12-26 |
| 1487036356 | Neurologic Physical Therapy Specialist | Clinic/Center | 5250 Tunbridge Wells Ln Apt 5, Orlando, FL 32812-8762 | 2015-06-26 |
| 1588074058 | Marcia Nathan | Clinic/Center | 1084 Lee Rd, Suite 7, Orlando, FL 32810-5821 | 2014-05-05 |
| 1851442651 | Physicians Injury Care Center | Clinic/Center | 5287 Alhambra Dr, Orlando, FL 32808-7203 | 2007-01-16 |
| 1851324032 | Cora Health Services Inc | Clinic/Center | 5787 Vineland Rd, Suite 104, Orlando, FL 32819-7804 | 2006-07-09 |
| 1134152317 | Cora Health Services Inc | Clinic/Center | 3861 Oakwater Cir, Suite 1, Orlando, FL 32806 | 2006-07-09 |
| 1730112905 | Cora Health Services Inc | Clinic/Center | 3451 Technological Avenue, Suite 1, Orlando, FL 32817-8353 | 2006-07-09 |
| 1760025209 | Genesis Health Development, Inc. | Clinic/Center | 801 Woodbury Rd Ste 103, Orlando, FL 32828-4514 | 2019-10-28 |
| Find all providers in ORLANDO | ||||
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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.