MEDICARE: CELELRA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA3000X	Augmentative Communication Clinic/Center

General Provider Information

NPI Number	:	1972466522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CELELRA INC

Provider Business Mailing Address
First Line	:	1819 WEST AVE UNIT 5
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-1440
Country	:	US
Telephone Number	:	701-381-2732
Fax Number	:

Provider Business Practice Location Address
First Line	:	1819 WEST AVE UNIT 5
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-1440
Country	:	US
Telephone Number	:	701-381-2732
Fax Number	:

Authorized Official
Title or Position	:	CO FOUNDER
Name	:	DR. MATTHEW RUSILKO
Credential	:	DO
Telephone Number	:	702-381-2732

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “CELELRA INC ” Practice Location

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