Colonial Rehab Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

CH8404 Issued in FL

Legal business name

COLONIAL REHAB CENTER

Practice address

4531 Deleon St Ste 203
Fort Myers, FL 33907-1280

Phone

(239) 275-3339

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Harrietta Ceccarelli, DC

Title

Owner

Phone

(239) 275-3339

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 Inc

  • Chiropractor
  • Fort Myers, FL
  • NPI 1225355258
  NPD tax ID

Locations

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1700115177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 DELEON ST STE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071280",
            "telephone_number": "239-275-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 DELEON ST STE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071280",
            "telephone_number": "239-275-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "CECCARELLI",
        "authorized_official_first_name": "HARRIETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-275-3339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "CH8404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colonia Medical Specialty Group
• Colonial Chiropractic, Inc
• Colonial Hearing Centers, Inc
• Colonial Outpatient Surgery Center, LLC
• Colonial Post Rehab Center
• Colonial Rehab Center Inc
• Colonial Therapy Center
• Diane T Colonnello, M.S.W.
• Cassandra Rene Colosimo
• Joshua M Colvin, MD

• Physical Therapy Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.