Healthcare Provider Details

I. General information

NPI: 1649326034
Provider Name (Legal Business Name): COMMUNITY REHAB ASSOCIATES, INC..
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 3RD ST N SUITE D
ST PETERSBURG FL
33703-6123
US

IV. Provider business mailing address

3950 3RD ST N SUITE D
ST PETERSBURG FL
33703-6123
US

V. Phone/Fax

Practice location:
  • Phone: 727-896-8086
  • Fax: 727-896-1017
Mailing address:
  • Phone: 727-896-8086
  • Fax: 727-896-1017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KELLY MCDONNELL
Title or Position: DIRECTOR-OWNER
Credential: M.S., CCC-SLP
Phone: 727-896-8086