CORA PHYSICAL THERAPY - ST. PETERS
NPI 1194454090
Clinic/Center - Rehabilitation in St. Peters, MO

Active since June 07, 2022
2046 QUEENS BROOKE BLVD, SUITE 101, ST. PETERS, MO 63376(419) 221-6717(419) 222-0507 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 19, 2023, Jun 10, 2022 (2 updates tracked since 2022).

About Cora Physical Therapy - St. Peters NPPES

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

CORA PHYSICAL THERAPY - ST. PETERS (NPI 1194454090) is a healthcare organization registered as a rehabilitation in St. Peters, Missouri and active in the NPI registry since June 2022. The organization lists Stephen Krzyminski, Senior Vp, as its authorized official.

NPPES Registry Identity

NPI1194454090
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NamePHYSICAL THERAPY SPINE & SPORTS MEDICINE LLC
Location Address2046 QUEENS BROOKE BLVD, SUITE 101St. Peters, MO 63376-7852
Mailing AddressPo Box 150Lima, OH 45802-0150 · (419) 221-6717 · Fax (419) 222-0507
Fax(419) 222-0507
Organization SubpartNo
Authorized OfficialStephen KrzyminskiSenior Vp · (419) 221-6717
Enumeration DateJune 7, 2022
Last NPPES UpdateOctober 19, 20232 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
✔ NPI 1194454090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
2046 QUEENS BROOKE BLVD, St. Peters, MO 63376

Other Names 1

Doing Business AsCora Physical Therapy - St. Peters

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cora Physical Therapy - St. Peters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Cora Physical Therapy - St. Peters, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Physical Therapist in Private Practice
NPI 1528013398
104 JUNGERMAN RD SUITE F
St Peters, MO 63376
(636) 926-2641
✔ Accepts Medicare2.7 mi
Physical Therapist in Private Practice
NPI 1760669378
15425 MANCHESTER RD SUITE 28
Ballwin, MO 63011
(636) 220-6969
11 mi
Physical Therapist in Private Practice
NPI 1467977140
160 RICHARDSON XING
Arnold, MO 63010
(636) 467-2730
26 mi
Physical Therapist in Private Practice
NPI 1124542915
160 RICHARDSON XING
Arnold, MO 63010
(636) 467-2730
26 mi
Physical Therapist in Private Practice
NPI 1023533825
1686 HENRY LUCKOW LN
Belvidere, IL 61008
(815) 547-4777
259 mi
Physical Therapist in Private Practice
NPI 1922613033
4246 BROADWAY
New York, NY 10033
(646) 790-7463
✔ Accepts Medicare896 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Physical Therapy Spine & Sports Medicine LLC's NPI number?

The NPI number for Physical Therapy Spine & Sports Medicine LLC is 1194454090. It was assigned to this organization in the NPPES registry on June 7, 2022. The provider is doing business as Cora Physical Therapy - St. Peters.

Where is Physical Therapy Spine & Sports Medicine LLC located?

Physical Therapy Spine & Sports Medicine LLC is located at 2046 Queens Brooke Blvd Suite 101, St. Peters, MO 63376. The listed phone number is (419) 221-6717.

What is Physical Therapy Spine & Sports Medicine LLC's specialty?

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

Is Physical Therapy Spine & Sports Medicine LLC enrolled in Medicare?

Yes. Physical Therapy Spine & Sports Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physical Therapy Spine & Sports Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Physical Therapy Spine & Sports Medicine LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Physical Therapy Spine & Sports Medicine LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Physical Therapy Spine & Sports Medicine 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 Physical Therapy Spine & Sports Medicine LLC was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.