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CORA PHYSICAL THERAPY - PADDOCK LAKE
NPI 1104497023
Clinic/Center - Rehabilitation in Salem, WI

Active since July 02, 2021
7137 236TH AVE STE 101, SALEM, WI 53168(262) 925-5060(262) 925-5061 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2023, Jul 2, 2021 (2 updates tracked since 2021).

About Cora Physical Therapy - Paddock Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORA PHYSICAL THERAPY - PADDOCK LAKE (NPI 1104497023) is a healthcare organization registered as a rehabilitation in Salem, Wisconsin and active in the NPI registry since July 2021. The organization lists Steve Krzyminski, Exec. Vp, as its authorized official.

NPPES Registry Identity

NPI1104497023
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameADVANTAGE PHYSICAL THERAPY & SPORTS REHAB, LLC
Location Address7137 236TH AVE STE 101Salem, WI 53168-8975
Mailing AddressPo Box 150Lima, OH 45802-0150 · (419) 221-6717 · Fax (419) 222-0507
Phone(262) 925-5060
Fax(262) 925-5061
Organization SubpartNo
Authorized OfficialSteve KrzyminskiExec. Vp · (419) 221-6717
Enumeration DateJuly 2, 2021
Last NPPES UpdateFebruary 27, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
✔ NPI 1104497023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
7137 236TH AVE STE 101, Salem, WI 53168
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Other Names 1

Doing Business AsCora Physical Therapy - Paddock Lake

Other Identifiers 1

Medicaid100217236WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY SMART DPT
Physical Therapist
7137 236TH AVE STE 101
SALEM, WI 53168
Kenosha County (262) 925-5060
ALEXANDER BROOKS
Physical Therapy Assistant
7137 236TH AVE STE 101
SALEM, WI 53168
Kenosha County (262) 925-5020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advantage Physical Therapy & Sports Rehab, LLC's NPI number?

The NPI number for Advantage Physical Therapy & Sports Rehab, LLC is 1104497023. It was assigned to this organization in the NPPES registry on July 2, 2021. The provider is doing business as Cora Physical Therapy - Paddock Lake.

Where is Advantage Physical Therapy & Sports Rehab, LLC located?

Advantage Physical Therapy & Sports Rehab, LLC is located at 7137 236th Ave Ste 101, Salem, WI 53168. The listed phone number is (262) 925-5060.

What is Advantage Physical Therapy & Sports Rehab, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

What insurance does Advantage Physical Therapy & Sports Rehab, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Advantage Physical Therapy & Sports Rehab, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advantage Physical Therapy & Sports Rehab, LLC was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.