Organization Active NPI

C I T Rehab & Welness Center LLC

  • Clinic/Center
  • Fort Myers, FL
National Provider Identifier
1972256071
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
C I T REHAB & WELNESS CENTER LLC
Practice address
2665 Cleveland Ave Ste 205
Fort Myers, FL 33901-5850
Phone
(239) 362-3314
Fax
(239) 362-3655
NPI assigned
Jan 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Teresa D Damera, APRN
Title
Owner/Aprn
Phone
(239) 362-3314

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2665 Cleveland Ave Ste 205
Fort Myers, FL 33901-5850

Mailing address

2665 Cleveland Ave Ste 205
Fort Myers, FL 33901-5850
Phone (239) 362-3314

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1972256071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 CLEVELAND AVE STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015850",
            "telephone_number": "239-362-3314",
            "fax_number": "239-362-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 CLEVELAND AVE STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339015850",
            "telephone_number": "239-362-3314",
            "fax_number": "239-362-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C I T REHAB & WELNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "DAMERA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "239-362-3314",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 28, 2022; 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.