Cleveland Rehab Center Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC 9451 Issued in FL

Legal business name

CLEVELAND REHAB CENTER CORP

Practice address

3049 Cleveland Ave
Suite 130
Fort Myers, FL 33901-7041

Phone

(239) 288-5647

Fax

(239) 288-5654

NPI assigned

Oct 18, 2011

Organization subpart

No

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

Authorized official

Name

Maria C Rivas, DC

Title

President

Phone

(239) 288-5647

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1396020673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 CLEVELAND AVE",
            "address_2": "SUITE 130",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017041",
            "telephone_number": "239-288-5647",
            "fax_number": "239-288-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 CLEVELAND AVE",
            "address_2": "SUITE 130",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017041",
            "telephone_number": "239-288-5647",
            "fax_number": "239-288-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND REHAB CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-288-5647",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC 9451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA EXEMPT HCC UNIT",
            "identifier": "FILE 9821",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lea Clem, OT
• Gabrielle Clement, LMHC
• Phillip Shane Clemons
• Alexis Clermont
• Cleveland Radiology Center Inc
• Cleveland Rehabilitation Center, LLC
• Cleveland RX LLC
• Alicia Cleveland
• Tammy J Clevenger, LCSW
• Natalia Clewell, LPN

• 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 Oct 18, 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.