OrganizationActive
Cora South Carolina LLC
NPI 1366008955 · Rehabilitation Clinic/Center · Summerville, SC
Provider details
- NPI number
- 1366008955
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brad Roush, Executive Vice President(419) 221-6712
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
515 Carnes Crossing Blvd Ste B
Summerville, SC 29486-0412
Phone: (419) 221-6717
Fax: (419) 222-0507
Approximate (ZIP-level) locationGet directions
Mailing address
1110 Shawnee Rd
Lima, OH 45805-3529
Other names (DBA / former)
- Doing business as
- Cora Physical Therapy - Carnes Crossroads
Registry dates
- Enumerated
- 2019-05-20
- Last updated
- 2019-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.