COLLEEN PETRANOVICH (NPI# 1780109454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780109454 |
| Entity Type | Individual |
| Full Name | COLLEEN PETRANOVICH |
| Credential | PT, DPT |
| Practice Address |
5006 Copper Ave Ne Albuquerque NM 87108-1301 |
| Practice Telephone | (505) 268-7988 |
| Practice Fax Number | 5052688021 |
| Mailing Telephone | 5052687988 |
| Mailing Fax Number | 5052688021 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
5081 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5006 COPPER AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346210473 | Explorabilities Inc | Psychologist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2006-01-23 |
| 1205444114 | Yleana Lucero | Physical Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2020-07-16 |
| 1407489040 | Michelle Randall | Occupational Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2020-02-21 |
| 1699323980 | Jeffrey Sanchez | Speech-Language Pathologist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2019-08-29 |
| 1710548508 | Oksana Tretiak | Occupational Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2019-06-24 |
| 1710542709 | Effie Pulford | Occupational Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2019-05-05 |
| 1467919571 | Maia A Wynn | Occupational Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2019-02-25 |
| 1679030191 | Sydney Marable | Occupational Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2019-02-21 |
| 1154803138 | Danielle Benavidez | Speech-Language Pathologist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2018-09-05 |
| 1245770239 | Anjuli Sears | Occupational Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2017-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770106726 | Sandia Sunrise Therapy LLC | Physical Therapist | 915 Monroe St Se, Albuquerque, NM 87108-3510 | 2020-05-26 |
| 1952792632 | Katelyn Crow | Physical Therapist | 9318 Orlando Pl Ne, Albuquerque, NM 87111-3338 | 2015-02-16 |
| 1841312956 | Julie C De Baca Maner | Physical Therapist | Rci Inc, 1111 Menual Blvd Ne, Albuquerque, NM 87107 | 2007-04-06 |
| 1861541989 | Kathleen Meier Hedemann | Physical Therapist | 6917 Red Sky Rd Ne, Albuquerque, NM 87111-1053 | 2007-01-09 |
| 1013987130 | Jean H Hile | Physical Therapist | 5006 Copper Ne, Albuquerque, NM 87108 | 2006-01-23 |
| 1205444114 | Yleana Lucero | Physical Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2020-07-16 |
| 1659886752 | Aim Pediatric Physical Therapy LLC | Physical Therapist | 4333 Pan American Fwy Ne Ste B, Albuquerque, NM 87107-6833 | 2017-12-11 |
| 1265986871 | Shawna Winnegar | Physical Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2016-08-11 |
| 1659747335 | Heather Armijo | Physical Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2015-08-17 |
| 1124410519 | Sunel Van Der Walt | Physical Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2015-02-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on COLLEEN PETRANOVICH.
| 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.