ADVANTAGE PT & SPORTS REHAB LLC
NPI 1881355527
Clinic/Center - Rehabilitation in Union Grove, WI
About Advantage Pt & Sports Rehab Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANTAGE PT & SPORTS REHAB LLC (NPI 1881355527), doing business as Cora Physical Therapy - Union Grove, is a healthcare organization registered as a rehabilitation in Union Grove, Wisconsin and active in the NPI registry since January 2022. The organization lists Calvin D Kennedy, Snr Vp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Advantage Pt & Sports Rehab Llc 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 Advantage Pt & Sports Rehab LLC, which bills Medicare for the services they deliver. Of these, 8 practice 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 Pt & Sports Rehab LLC's NPI number?
The NPI number for Advantage Pt & Sports Rehab LLC is 1881355527. It was assigned to this organization in the NPPES registry on January 5, 2022. The provider is doing business as CORA Physical Therapy - Union Grove.
Where is Advantage Pt & Sports Rehab LLC located?
Advantage Pt & Sports Rehab LLC is located at 4350 67th Dr, Union Grove, WI 53182. The listed phone number is (419) 221-6717.
What is Advantage Pt & Sports Rehab LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.
Is Advantage Pt & Sports Rehab LLC enrolled in Medicare?
Yes. Advantage Pt & Sports Rehab LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advantage Pt & 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 Pt & 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, 8 practice 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 Pt & Sports Rehab LLC was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Advantage Pt & Sports Rehab Llc · NPI 1881355527
Rehabilitation organization in Union Grove, Wisconsin. Organization record, active in the CMS NPPES registry since January 5, 2022.
## Identity
- **NPI:** 1881355527 (Entity type: Organization)
- **Enumerated:** January 5, 2022
- **Primary specialty:** Clinic/Center - Rehabilitation · taxonomy 261QR0400X
- **Also known as:** CORA Physical Therapy - Union Grove (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Calvin Kennedy, SNR VP
## Practice location
- **Address:** 4350 67TH DR, Union Grove, WI 53182-9338
- **Phone:** (419) 221-6717
## 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); 8 practice within 10 miles; [full list](https://npiprofile.com/npi/1881355527/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1881355527) · Data from the CMS NPPES public registry.