Active NPI
C I T Rehab & Welness Center LLC
- Clinic/Center
- Fort Myers, FL
National Provider Identifier
1972256071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Family Nurse Practitioner | 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 DirectoryNPI 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.