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Organization
COMMUNITY REHAB ASSOCIATES, INC..
Active
Organization
COMMUNITY REHAB ASSOCIATES, INC..
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MCDONNELL M.S., CCC-SLP (DIRECTOR-OWNER)
(727) 896-8086
Entity
Organization
Contact information
Practice address
3950 3RD ST N, SUITE D, ST PETERSBURG, FL 33703-6123
(727) 896-8086
(727) 896-1017
Mailing address
3950 3RD ST N, SUITE D, ST PETERSBURG, FL 33703-6123
(727) 896-8086
(727) 896-1017
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110976
CITRUS HEALTHCARE
FL
01
—
278346
AMERIGROUP PROVIDER ID
FL
01
—
T0864
BCBS OUT OF NETWORK
FL
Enumeration date
01/26/2007
Last updated
09/11/2025
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