Cora Physical Therapy - Racine

LBN: Advantage Physical Therapy & Sports Rehab, Llc
Cora Physical Therapy - Racine is an health care organization with primary practice located at 7200 Washington Ave Ste 104 , Mount Pleasant WI 53406-6516. 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) 583-0790, or through Krzyminski, Steve via phone (419) 221-6717.

Contact Information

Primary practice address
7200 Washington Ave Ste 104 Mount Pleasant WI 53406-6516
Phone: (262) 583-0790
Fax: (262) 583-0768
Website:
Map and Directions
Authorized official contact:
Name: Krzyminski, Steve
Phone: (419) 221-6717

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1821669748
LBN Legal business name Advantage Physical Therapy & Sports Rehab, Llc
DBA Doing business as Cora Physical Therapy - Racine
Authorized official Krzyminski, Steve
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 1821669748 NPPES
Wisconsin MEDICAID 100218700

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