Colonial Therapy Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

111NR0400X Issued in FL

Legal business name

COLONIAL THERAPY CENTER

Practice address

4531 Deleon St Ste 203
Fort Myers, FL 33907-1280

Phone

(239) 275-3330

Fax

(239) 275-3339

NPI assigned

Feb 27, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Alden Hall, CH6817

Title

Owner / Physician

Phone

(239) 275-3330

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1124297858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 DELEON ST STE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071280",
            "telephone_number": "239-275-3330",
            "fax_number": "239-275-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 DELEON ST STE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071280",
            "telephone_number": "239-275-3330",
            "fax_number": "239-275-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALDEN",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "239-275-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CH6817"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "111NR0400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colonial Hearing Centers, Inc
• Colonial Outpatient Surgery Center, LLC
• Colonial Post Rehab Center
• Colonial Rehab Center
• Colonial Rehab Center Inc
• Diane T Colonnello, M.S.W.
• Cassandra Rene Colosimo
• Joshua M Colvin, MD
• Jason Combs, CRNA
• Ariana Comeaux

• Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.