Cora Physical Therapy - New Berlin

LBN: Advantage Physical Therapy & Sports Rehab, Llc
Cora Physical Therapy - New Berlin is an health care organization with primary practice located at 12555 W National Ave , New Berlin WI 53151-4061. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Advantage Physical Therapy & Sports Rehab, Llc can be contacted via phone (414) 422-4678, or through Kennedy, Calvin D via phone (724) 544-4302.

Contact Information

Primary practice address
12555 W National Ave New Berlin WI 53151-4061
Phone: (414) 422-4678
Fax: (419) 222-0507
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Calvin D
Phone: (724) 544-4302

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1285205195
LBN Legal business name Advantage Physical Therapy & Sports Rehab, Llc
DBA Doing business as Cora Physical Therapy - New Berlin
Authorized official Kennedy, Calvin D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2021
Last updated Feb 27th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285205195 NPPES
Wisconsin MEDICAID 100217228

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