Organization Active NPI

Bonett Rehab Center Inc

  • Physical Therapy Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1891093068
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BONETT REHAB CENTER INC
Practice address
3900 Broadway BLDG B Unit-7
Fort Myers, FL 33901-8193
Phone
(239) 481-2200
Fax
(239) 481-2209
NPI assigned
Mar 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Dr. Carlos Carrazana, D.C.
Title
Owner
Phone
(239) 481-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3900 Broadway BLDG B Unit-7
Fort Myers, FL 33901-8193

Mailing address

3900 Broadway BLDG B
Fort Myers, FL 33901-8193
Phone (239) 481-2200

National Provider Directory

National Provider Directory

Locations

3900 Broadway
Ste 7
Fort Myers, FL 33901
Phone (239) 481-2200

3900 Broadway
Bldg B
Fort Myers, FL 33901

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1891093068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 BROADWAY BLDG B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018193",
            "telephone_number": "239-481-2200",
            "fax_number": "239-481-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BROADWAY BLDG B UNIT-7",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018193",
            "telephone_number": "239-481-2200",
            "fax_number": "239-481-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONETT REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "CARRAZANA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-481-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 11, 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.