NPIMap

Organization Active NPI

Comprehensive Holistic Rehab Clinic

  • Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1356764302
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MM31700 Issued in FL
Legal business name
COMPREHENSIVE HOLISTIC REHAB CLINIC
Practice address
2040 Collier Ave
Fort Myers, FL 33901-8124
Phone
(954) 628-2478
NPI assigned
Jan 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Jean R Eugene, LMT
Title
Massage Therapist
Phone
(954) 628-2478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MM31700 FL Primary

Addresses

Primary practice location

2040 Collier Ave
Fort Myers, FL 33901-8124

Mailing address

2040 Collier Ave
Fort Myers, FL 33901-8124
Phone (954) 628-2478

Other names 1

  • All in one Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
All in One Urgent Care2 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.

Locations

2040 Collier Ave
Fort Myers, FL 33901
Phone (239) 561-2688

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1356764302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 COLLIER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018124",
            "telephone_number": "954-628-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 COLLIER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018124",
            "telephone_number": "954-628-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HOLISTIC REHAB CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "EUGENE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "954-628-2478",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "MM31700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All in one Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.