Cora Physical Therapy - Kenosha North
LBN: Advantage Physical Therapy & Sports Rehab, Llc
Cora Physical Therapy - Kenosha North is an health care organization with primary practice located at 3620 57Th Ave Ste 400 , Kenosha WI 53144-4925. 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 (262) 925-5250, or through Krzyminski, Stephen via phone (419) 221-6717.
Contact Information
Primary practice address
3620 57Th Ave Ste 400
Kenosha WI 53144-4925
Phone: (262) 925-5250
Fax: (262) 925-5251
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X |
Profile Details
NPI number | 1366013278 |
---|---|
LBN Legal business name | Advantage Physical Therapy & Sports Rehab, Llc |
DBA Doing business as | Cora Physical Therapy - Kenosha North |
Authorized official | Krzyminski, Stephen |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 2nd, 2021 |
Last updated | Feb 27th, 2024 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366013278 | NPPES |
Wisconsin | MEDICAID | 100217837 |
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