CORA HEALTH SERVICES INC (NPI# 1275562845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275562845 |
| Entity Type | Organization |
| Organization Name | CORA HEALTH SERVICES INC |
| Other Organization Name | CORA REHABILITATION CLINICS - PORT ORANGE |
| Practice Address |
1525 Herbert Street Unit 103 Port Orange FL 32129-6106 |
| Mailing Address |
1100 Shawnee Road Lima OH 45805 |
| Practice Telephone | 3867560424 |
| Practice Fax Number | 3867560425 |
| Mailing Telephone | 4192216712 |
| Mailing Fax Number | 4192220507 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-09-19 |
| 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 | BLUE CROSS BLUE SHIELD | Q50 | 01 |
| Other Name | Type Code |
|---|---|
| CORA Physical Therapy - Port Orange | Doing Business As Name - Organization |
| CORA Rehabilitation Clinics - Port Orange | 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 |
1525 HERBERT STREET UNIT 103 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32129-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179818 | Port Orange Modern Dentistry, Pa | Dentist | 1765 Dunlawton Ave., Suite 103, Port Orange, FL 32129 | 2018-10-08 |
| 1932698131 | Brittany Michele Claude | Behavioral Analyst | 4647 Clyde Morris Blvd Suite 501, Port Orange, FL 32129 | 2018-05-03 |
| 1760919468 | Makayla Earl | Behavior Technician | 1557 Town Park Dr., Port Orange, FL 32129 | 2017-05-12 |
| 1184157968 | Katie Lynn Weisz | Physician Assistant | 3635 South Clyde Morris Blvd, Suite 100, Port Orage, FL 32129 | 2017-04-07 |
| 1285178319 | Mallory Driggers | Counselor | 980 Canal View Blvd Apt F7, Port Orange, FL 32129 | 2016-12-08 |
| 1912321654 | Edward L. Staudt Dds & Kenneth L. Staudt Dds, Mph | Dentist | 944 Bridgewater Dr., Suite 2-b, Port Orange, FL 32129 | 2014-02-18 |
| 1538411731 | Roberta Ann Gilmartin | Specialist | 1048 W Samms Ave, Port Orange, FL 32129 | 2012-10-11 |
| 1679892996 | Pamela Kirby Pa | Clinic/Center | 4606 South Clyde Morris Boulevard, Suite 1j, Port Orange, FL 32129 | 2010-05-26 |
| 1326376385 | Connie Jeanne Bodnarik | Physical Therapy Assistant | 3780 S Clyde Morris Blvd Apt 1206, Port Orange, FL 32129 | 2009-12-02 |
| 1669645057 | American Family & Sports Chiropractic Center Inc | Chiropractor | 4649 Clyde Morris Blvd Unit 609, Port Orange, FL 32129 | 2008-04-08 |
| Find all providers in zip 32129 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558591941 | Celebrate The Struggle LLC | Clinic/Center | 941 Village Trail, Port Orange, FL 32127-9353 | 2009-07-20 |
| 1982673216 | Select Physical Therapy Holdings Inc | Clinic/Center | 1440 Reed Canal Rd, Ste 101, Port Orange, FL 32129-9418 | 2006-03-17 |
| 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 | ||||
| City | PORT ORANGE |
| Zip Code | 32129 |
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.