Cora Physical Therapy - Kenosha Midtown

LBN: Advantage Pt & Sports Rehab Llc
Cora Physical Therapy - Kenosha Midtown is an health care organization with primary practice located at 5024 Green Bay Rd , Kenosha WI 53144-1702. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Advantage Pt & Sports Rehab Llc can be contacted via phone (419) 221-6717, or through Krzyminski, Steve via phone (419) 221-6717.

Contact Information

Primary practice address
5024 Green Bay Rd Kenosha WI 53144-1702
Phone: (419) 221-6717
Fax: (419) 222-0507
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 1619638350
LBN Legal business name Advantage Pt & Sports Rehab Llc
DBA Doing business as Cora Physical Therapy - Kenosha Midtown
Authorized official Krzyminski, Steve
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2022
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619638350 NPPES
Wisconsin MEDICAID 100192499

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