Collaborative Medical Rehabilitation Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

COLLABORATIVE MEDICAL REHABILITATION INC

Practice address

7030 Buckingham Blvd
Berkeley, CA 94705-1713

Phone

(510) 964-0458

NPI assigned

Aug 23, 2010

Organization subpart

No

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

Authorized official

Name

Kathy A Elgohary

Title

Principal Officer

Phone

(510) 964-0458

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1144536574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 BUCKINGHAM BLVD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051713",
            "telephone_number": "510-964-0458",
            "fax_number": "510-964-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 BUCKINGHAM BLVD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051713",
            "telephone_number": "510-964-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE MEDICAL REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "ELGOHARY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER",
        "authorized_official_telephone_number": "510-964-0458"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mari Nicole Colbert
• Amalia Cole
• Ryan Cole, MFT
• Shamika Cole
• Denise Lynette Coleman
• Lucy J Collier, M.A., MFT
• Claramarie Cottrell Collins, PSYD
• Josephine Elizabeth Collins, MFT
• Kyla Collins, RN, CNM
• Noah Matthew Collins, PH.D.

• Physical Medicine & Rehabilitation Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.