CORA PHYSICAL THERAPY - KENOSHA NORTH
NPI 1366013278
Clinic/Center - Rehabilitation in Kenosha, WI
About Cora Physical Therapy - Kenosha North NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORA PHYSICAL THERAPY - KENOSHA NORTH (NPI 1366013278) is a healthcare organization registered as a rehabilitation in Kenosha, Wisconsin and active in the NPI registry since July 2021. The organization lists Stephen Krzyminski, Executive Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 - Kenosha North is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Cora Physical Therapy - Kenosha North, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 30Source: 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 Advantage Physical Therapy & Sports Rehab, LLC's NPI number?
The NPI number for Advantage Physical Therapy & Sports Rehab, LLC is 1366013278. It was assigned to this organization in the NPPES registry on July 2, 2021. The provider is doing business as Cora Physical Therapy - Kenosha North.
Where is Advantage Physical Therapy & Sports Rehab, LLC located?
Advantage Physical Therapy & Sports Rehab, LLC is located at 3620 57th Ave Ste 400, Kenosha, WI 53144. The listed phone number is (262) 925-5250.
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.
Is Advantage Physical Therapy & Sports Rehab, LLC enrolled in Medicare?
Yes. Advantage Physical Therapy & Sports Rehab, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advantage Physical Therapy & Sports Rehab, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 2 Medicare specialties reassign their Medicare billing to Advantage Physical Therapy & Sports Rehab, 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. The largest specialties are Physical Therapist in Private Practice (27) and Occupational Therapist in Private Practice (3). Of these, 2 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Cora Physical Therapy - Kenosha North · NPI 1366013278
Rehabilitation organization in Kenosha, Wisconsin. Organization record, active in the CMS NPPES registry since July 2, 2021.
## Identity
- **NPI:** 1366013278 (Entity type: Organization)
- **Enumerated:** July 2, 2021
- **Primary specialty:** Clinic/Center - Rehabilitation · taxonomy 261QR0400X
- **Legal business name:** Advantage Physical Therapy & Sports Rehab, Llc
- **Organization subpart:** No
- **Authorized official:** Stephen Krzyminski, EXECUTIVE VICE PRESIDENT
## Practice location
- **Address:** 3620 57TH AVE STE 400, Kenosha, WI 53144-4925
- **Phone:** (262) 925-5250 · **Fax:** (262) 925-5251
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (27), Occupational Therapist in Private Practice (3); 2 practice at this address and 10 within 10 miles; [full list](https://npiprofile.com/npi/1366013278/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2024
- **Other identifiers:** Medicaid 100217837 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1366013278) · Data from the CMS NPPES public registry.