MEDICARE: CORTINA CONSULTANTS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	224Z00000X	Occupational Therapy Assistant
2	225100000X	Physical Therapist
3	225200000X	Physical Therapy Assistant
4	225X00000X	Occupational Therapist
5	235Z00000X	Speech-Language Pathologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578628012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORTINA CONSULTANTS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 369
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29681-0369
Country	:	US
Telephone Number	:	864-621-5646
Fax Number	:	678-840-2112

Provider Business Practice Location Address
First Line	:	213 E BUTLER RD BLDG E2
Second Line	:
City	:	MAULDIN
State	:	SC
Zip	:	29662-2172
Country	:	US
Telephone Number	:	864-621-5646
Fax Number	:	678-840-2112

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VICTOR CORTINA
Credential	:	PT
Telephone Number	:	864-621-5646

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	09/11/2025

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Directions to “CORTINA CONSULTANTS, INC. ” Practice Location

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