Provider Demographics
NPI:1437188356
Name:COMPREHENSIVE THERAPY AND REHABILITATION INC
Entity Type:Organization
Organization Name:COMPREHENSIVE THERAPY AND REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERTOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MTC
Authorized Official - Phone:941-360-9706
Mailing Address - Street 1:8913 BERNBERRY ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-8309
Mailing Address - Country:US
Mailing Address - Phone:941-350-0006
Mailing Address - Fax:941-379-8684
Practice Address - Street 1:5023 RINGWOOD MDW
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34235-2035
Practice Address - Country:US
Practice Address - Phone:941-360-9706
Practice Address - Fax:941-360-8032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20421225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTAX ID NUMBER