COLONIAL ORTHOPAEDICS, INC (NPI# 1336270289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336270289 |
| Entity Type | Organization |
| Organization Name | COLONIAL ORTHOPAEDICS, INC |
| Other Organization Name | COLONIAL ORTHOPAEDICS |
| Practice Address |
131 Jennick Dr Colonial Heights VA 23834-4905 |
| Mailing Address |
13000 Rivers Bend Blvd Ste D Chester VA 23836-8632 |
| Practice Telephone | 8045265888 |
| Practice Fax Number | 8045265401 |
| Mailing Telephone | 8045715000 |
| Mailing Fax Number | 8045181314 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | DEE DEE ALVIS (OPERATIONS MANAGER) |
| Authorized Official Telephone | 8045715132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 0119000261 | VA | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
2305005628 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM PT | 194507 | 01 |
| VA | OPTIMA PT | 10002763 | 01 |
| VA | FIRST HEALTH MAILHANDLERS | 5654515 | 01 |
| VA | SOUTHERN HEALTH PT OT | 182898 | 01 |
| VA | ANTHEM OT | 194508 | 01 |
| Other Name | Type Code |
|---|---|
| Colonial Orthopaedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609201441 | Colonial Orthopaedics, Inc | Durable Medical Equipment & Medical Supplies | 13000 Rivers Bend Blvd, Ste E, Chester, VA 23836-8632 | 2013-09-12 |
| 1104376235 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 7101 Jahnke Rd, Suite 200, Richmond, VA 23225-4017 | 2016-10-13 |
| 1275940926 | Colonial Orthopaedics, Inc | Durable Medical Equipment & Medical Supplies | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2014-07-15 |
| 1780932970 | Colonial Orthopaedics, Inc | Clinic/Center | 13038 Rivers Bend Rd, Chester, VA 23836-2564 | 2012-08-21 |
| 1033422597 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 13034 Rivers Bend Rd, Chester, VA 23836-2564 | 2010-07-26 |
| 1992996722 | Colonial Orthopaedics, Inc | Occupational Therapist | 13048 Rivers Bend Rd, Chester, VA 23836-2564 | 2007-08-07 |
| 1720015852 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 106 N Main St, Hopewell, VA 23860-2719 | 2006-06-26 |
| 1689600447 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2006-06-24 |
| 1568406825 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2006-06-16 |
| Street Address |
131 JENNICK DR |
| City | COLONIAL HEIGHTS |
| State | VA |
| Zip Code | 23834-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365445 | Prakasam Kalluri | Orthopaedic Surgery | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2005-06-08 |
| 1528579539 | Emily K Czyzyk | Physician Assistant | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2017-10-17 |
| 1548707367 | Hannah L Leist | Physician Assistant | 131 Jennick Dr, Colonial Heights, VA 23834 | 2017-01-31 |
| 1912459371 | Stefanie A Labar | Physician Assistant | 131 Jennick Dr, Colonial Heights, VA 23834 | 2016-11-01 |
| 1912252891 | Justin W Taggart | Physical Therapist | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2012-07-17 |
| 1356676225 | Bradley E Kolesar | Physician Assistant | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2009-10-12 |
| 1649430612 | Neema M Amin | Orthopaedic Surgery | 131 Jennick Dr, Colonial Heights, VA 23834 | 2008-06-13 |
| 1851505176 | Colonial Orthopaedics Inc | Durable Medical Equipment & Medical Supplies | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2007-05-09 |
| 1659304293 | Jennifer Lindsey Harless | Occupational Therapist | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2006-07-08 |
| 1568406825 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323040 | Latoya Harris | Social Worker | 3220 Loganwood Dr, South Chesterfield, VA 23834 | 2020-07-15 |
| 1619598653 | Jasmine Cutler | Nurse Practitioner | 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 | 2020-04-30 |
| 1942841275 | Stephanie Benedict | Technician | 330 King Fisher Way, Col. Heights, VA 23834 | 2019-10-08 |
| 1134628852 | Stacie J Lewis | Hearing Instrument Specialist | 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2018-02-08 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1639681349 | Nicholas C Vickers | Hearing Instrument Specialist | 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2017-11-03 |
| 1962935015 | Selfless Service LLC | In Home Supportive Care | 256 E Ellerslie Ave Ste C, Colonial Heights, VA 23834 | 2017-04-05 |
| 1134594864 | Dominion Aba | Early Intervention Provider Agency | 2903 Bouleavard, Colonial Heights, VA 23834 | 2015-12-07 |
| 1558743039 | Dream Care of Va LLC | Durable Medical Equipment & Medical Supplies | 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 | 2015-06-22 |
| 1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
| Find all providers in zip 23834 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649270943 | Douglas Avery & Associates Ltd | Clinic/Center | 320b Charles H Dimmock Pkwy, Ste. 6, Colonial Heights, VA 23834 | 2005-07-28 |
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|---|---|---|---|---|
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| 1245838754 | Camille Louise Ronesi | Clinic/Center | 8910 Patterson Ave, Richmond, VA 23229-6324 | 2020-10-16 |
| 1790399400 | Wholehealthpt LLC | Clinic/Center | 800 John Carlyle St Apt 124, Alexandria, VA 22314-6844 | 2020-09-01 |
| 1487265401 | Erin Chapman Dpt | Clinic/Center | 10 Seminole Trl, Palmyra, VA 22963-3157 | 2020-08-13 |
| 1831709500 | The Balance Center, LLC | Clinic/Center | 4002 Millcreek Dr, Annandale, VA 22003-2334 | 2020-08-06 |
| 1013527381 | Movement Is Medicine Physical Therapy and Sports Performance | Clinic/Center | 508 Connecticut Ave, Norfolk, VA 23508-2706 | 2020-08-03 |
| 1003426297 | Bal Therapy LLC | Clinic/Center | 4514 36th St S Apt B1, Arlington, VA 22206-1855 | 2020-08-03 |
| 1154948933 | My Pt and Pilates Inc | Clinic/Center | 6706 Red Jacket Rd, Springfield, VA 22152-2633 | 2020-06-29 |
| 1871117705 | Level Up Physical Therapy | Clinic/Center | 1625 Maiden Ln, Charlottesville, VA 22911-7509 | 2020-06-06 |
| 1942824297 | Heitmann Physical Therapy and Wellness | Clinic/Center | 6008 Sunset Ridge Ct, Centreville, VA 20121-3051 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
| City | COLONIAL HEIGHTS |
| Zip Code | 23834 |
Please comment or provide details below to improve the information on COLONIAL ORTHOPAEDICS, INC.
| 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.