Michael A Comello, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40618 Issued in FL

Practice address

17011 Alico Commerce CT Ste 507
Fort Myers, FL 33967-2540

Phone

(239) 829-8393

NPI assigned

Oct 9, 2023

Last updated

Oct 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: michael.comello.1@4290.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment Care Compare group NPD
• Bonita Springs Sports & Physical Therapy Center Inc

  • Physical Therapist
  • Bonita Springs, FL
  • NPI 1104893361
  Medicare reassignment NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1235910142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 11TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339762712",
            "telephone_number": "479-206-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17011 ALICO COMMERCE CT STE 507",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339672540",
            "telephone_number": "239-829-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMELLO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "PT,  DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "40618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane T Colonnello, M.S.W.
• Cassandra Rene Colosimo
• Joshua M Colvin, MD
• Jason Combs, CRNA
• Ariana Comeaux
• Jeff R Comer, MD
• Kari Comer, OTR
• Comfortable Care Dental Health Professionals PC (Family Dental of Fort Meyers)
• Comfortable Care Dental Health Professionals, P.a. (Red Cedar Dental Care)
• Comfortable Care Dental Health Professionals, P.a. (Six Mile Cypress Dental Care)

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.