Conseulo Villareal, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT18518 Issued in FL

Practice address

2823 US Highway 301 N
Ste 4
Ellenton, FL 34222-2084

Phone

(941) 729-8600

Fax

(941) 729-4440

NPI assigned

May 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functional Rehab of East Ft. Myers, Inc.

  dba Rehab & Pain Center

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1699727156
  NPD (past)
• Pain & Rehab Center Inc

  • Physical Therapist
  • Estero, FL
  • NPI 1174747489
  NPD (past)
• Prodigy Healthcare Specialists, Inc.

  dba Prodigy Physical Therapy

  • Physical Therapy Clinic/Center
  • Ellenton, FL
  • NPI 1497898688
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952502874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 US HIGHWAY 301 N",
            "address_2": "STE 4",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342222084",
            "telephone_number": "941-729-8600",
            "fax_number": "941-729-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 US HIGHWAY 301 N",
            "address_2": "STE 4",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342222084",
            "telephone_number": "941-729-8600",
            "fax_number": "941-729-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAREAL",
        "first_name": "CONSEULO",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madisyn Brielle Turner
• Universal Nursing and Wellness LLC
• Angela Van Waes, DC
• Rachael Lynn Vanderaa, LCSW
• Julie Vera Rivas, MSN, APRN, FNP-C
• Walgreen Co (Walgreens #06515)
• Valerie Walton
• Jonathan S Ware, MD
• Timothy Whaley, D.D.S.
• Ladena Wright

• Physical Therapist in Ellenton, FL
• Providers in Ellenton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.