Collier Rehabilitation Systems

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

0000026982 Issued in CA

Legal business name

COLLIER REHABILITATION SYSTEMS

Practice address

3161 Putnam Blvd
Pleasant Hill, CA 94523-4650

Phone

(925) 943-1119

Fax

(925) 943-2493

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John G Russell Jr., C.P.O.

Title

President

Phone

(925) 943-1119

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1609934660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 PUTNAM BLVD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234650",
            "telephone_number": "925-943-1119",
            "fax_number": "925-943-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 PUTNAM BLVD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234650",
            "telephone_number": "925-943-1119",
            "fax_number": "925-943-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER REHABILITATION SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-943-1119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "0000026982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "XB0009910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Nick Cinto, RPH
• Chris Clark, ATC
• Michelle A Cleary, N.P.
• Erin Clifton
• Kristen Colchico, BS, MS, DOCTORATE
• Mark Steven Collins, LMFT #32049
• Charleston Cone, MD
• Heather Coniglio, SLPA
• Connect & Bloom Speech Therapy Inc.
• Rachel Connelly

• Prosthetic/Orthotic Supplier in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.