COLONIAL PHYSICAL THERAPY (NPI# 1558426098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558426098 |
| Entity Type | Organization |
| Organization Name | COLONIAL PHYSICAL THERAPY |
| Practice Address |
1702 State Route 35 Middletown NJ 07748-1832 |
| Practice Telephone | 7326159622 |
| Practice Fax Number | 7326159624 |
| Mailing Telephone | 7326159622 |
| Mailing Fax Number | 7326159624 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RALPH DESIDERIO (CO-OWNER) |
| Authorized Official Telephone | 7326159622 |
| Authorized Official Credential | M.S.P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40QA00884200 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40QA00806100 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1702 STATE ROUTE 35 |
| City | MIDDLETOWN |
| State | NJ |
| Zip Code | 07748-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619032059 | Ralph Desiderio | Physical Therapist | 1702 State Route 35, Middletown, NJ 07748-1832 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245872472 | Daniella Marie Siragusa | Pharmacist | 1200 Nj 35, Middletown, NJ 07748 | 2019-10-09 |
| 1548801194 | Victoria Coglianese | Dietitian, Registered | 146 Hillyer Circle, Middletown, Nj, Usa, Middletown, NJ 07748 | 2019-10-04 |
| 1396276184 | Crp Regal Pointe, LLC | Assisted Living Facility | 1800 Nj Highway 35 South, Middletown, NJ 07748 | 2017-03-23 |
| 1780131284 | Jocelyn Elizabeth Marrone | Pharmacist | 1447 State Highway 35, Middletown, NJ 07748 | 2016-09-01 |
| 1346796570 | Michelle Caravella | Dietitian, Registered | 113 Lynch Rd, Middletown, NJ 07748 | 2016-08-28 |
| 1922553528 | Jamie Manzo | Physical Therapist | 37 Kanes Ln, Middletown, NJ 07748 | 2016-08-24 |
| 1245697432 | Middletown Oral Surgery Associates, P.C. | Oral & Maxillofacial Surgery | 21 New Monmouth Road, Middletown, NJ 07748 | 2016-01-20 |
| 1295171379 | Taryn M Buffolino | Counselor | 41 Tall Tree Rd, Middletown, NJ 07748 | 2013-05-16 |
| 1477825925 | Min Jin Kim | Dentist | 2 Apple Farm Road, Middletown, NJ 07748 | 2012-01-30 |
| 1295018562 | Kavita Patel | Pharmacist | 271 Linden Avenue, North Middletown, NJ 07748 | 2011-09-23 |
| Find all providers in zip 07748 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093227902 | Nicholas A Bessette | Physical Therapist | 140 Main St Ste 4b, Middletown, CT 06457-3437 | 2017-11-01 |
| 1922553528 | Jamie Manzo | Physical Therapist | 37 Kanes Ln, Middletown, NJ 07748 | 2016-08-24 |
| 1154505147 | Scotchtown Physical Therapy, P.C. | Physical Therapist | 633 Route 211 E Ste 2, Middletown, NY 10941-1781 | 2007-12-26 |
| 1619032059 | Ralph Desiderio | Physical Therapist | 1702 State Route 35, Middletown, NJ 07748-1832 | 2006-12-26 |
| 1760491666 | Middletown Sport and Spine LLC | Physical Therapist | 205 S. Church Street, Suite B, Middletown, MD 21769 | 2006-08-07 |
| 1518948355 | Todd Stuart Cumming | Physical Therapist | 124 Sleepy Hollow Dr, Suite 101, Middletown, DE 19709-5838 | 2005-11-09 |
| 1427274034 | Emily Jane Bjornstad | Physical Therapist | 1181 Aquidneck Ave, Middletown, RI 02842-5255 | 2007-04-18 |
| 1134263122 | All Therapy | Physical Therapist | 212 Carter Dr, Suite C, Middletown, DE 19709-5837 | 2007-02-16 |
| 1558474742 | Middlesex Orthopedic Surgeons PC | Physical Therapist | 410 Saybrook Rd, Ste 100, Middletown, CT 06457-4780 | 2006-08-15 |
| 1811911217 | Orthosport Physical Therapy Center | Physical Therapist | 323 N Breiel Blvd, Middletown, OH 45042-3868 | 2006-07-27 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 07748 |
Please comment or provide details below to improve the information on COLONIAL PHYSICAL THERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.