Provider Demographics
NPI:1629947551
Name:COMMUNITY REHAB AND WELLNESS, PLLC
Entity type:Organization
Organization Name:COMMUNITY REHAB AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KALAISENTHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KALAIMANI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:810-877-3447
Mailing Address - Street 1:1280 NW 133RD WAY
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-0466
Mailing Address - Country:US
Mailing Address - Phone:352-663-9988
Mailing Address - Fax:352-663-9608
Practice Address - Street 1:1280 NW 133RD WAY
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-0466
Practice Address - Country:US
Practice Address - Phone:810-877-3447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty