Colonial Rehab Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8404 Issued in FL

Legal business name

COLONIAL REHAB CENTER INC

Practice address

4531 De Leon St
205 A
Fort Myers, FL 33907

Phone

(239) 275-3330

Fax

(239) 275-3339

NPI assigned

Apr 30, 2010

Organization subpart

No

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

Authorized official

Name

Harrieta Ceccarelli, MD

Title

Owner/Physician

Phone

(239) 275-3330

Specialties & licenses 1

Addresses

Tax ID family

Colonial Rehab Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Colonial Rehab Center

  • Physical Therapy Clinic/Center
  • Fort Myers, FL
  • NPI 1700115177
  NPD tax ID

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1225355258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 DE LEON ST",
            "address_2": "205 A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33907",
            "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 DE LEON ST",
            "address_2": "205 A",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33907",
            "telephone_number": "239-275-3330",
            "fax_number": "239-275-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "CECCARELLI",
        "authorized_official_first_name": "HARRIETA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "239-275-3330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Chiropractor in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; 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.