Organization
ADVANTAGE PHYSICAL THERAPY & SPORTS REHAB, LLC
Active
Other names
CORA Physical Therapy - Kenosha South
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE KRZYMINSKI (EXECUTIVE VICE PRESIDENT)
(419) 221-6717
Entity
Organization
Contact information
Practice address
10222 74TH ST STE 211, KENOSHA, WI 53142-6810
(262) 925-5020
(262) 925-5021
Mailing address
PO BOX 150, LIMA, OH 45802-0150
(419) 221-6717
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100217234
—
WI
Enumeration date
07/02/2021
Last updated
02/27/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us