HEALTHCORE INC – Physical Therapist, NPI 1700997061
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for HEALTHCORE INC
Lake City Post Office, 3019, Northeast 127th Street, Olympic Hills, Lake City, Seattle, King County, Washington, 98165, United States
LAKE CITY, FL 320562181
Phone: (386) 754-3908
Fax: (386) 754-9059
Type: Mailing
606, Southeast Baya Drive, Lake City, Columbia County, Florida, 32025, United States
LAKE CITY, FL 320256026
Phone: (386) 755-8680
Fax: (386) 755-6639
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-07-02
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1019 days ago).
Enrollment records
1
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20080702000211 | O | Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | FL | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32056)
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