MIKE COLEGROVE (NPI# 1871855825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871855825 |
Entity Type | Individual |
Full Name | MIKE COLEGROVE |
Credential | PT |
Practice Address |
9101 Ashton Brook Dr Kernersville NC 27284-8467 |
Practice Telephone | 3369713000 |
Mailing Telephone | 3369713000 |
Enumeration Date | 2012-06-14 |
Last Update Date | 2012-06-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
P4627 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | PHYSICAL THERAPY | P4627 | 01 |
Street Address |
9101 ASHTON BROOK DR |
City | KERNERSVILLE |
State | NC |
Zip Code | 27284-8467 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
Find all providers in zip 27284 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952928129 | Home Strong Therapy LLC | Physical Therapist | 9 Devonshire Dr, Greensboro, NC 27410-2434 | 2020-07-02 |
1376164988 | Age Well Nc LLC | Physical Therapist | 1610 Dunn Pl, Hillsborough, NC 27278-7721 | 2020-05-05 |
1306497631 | Rehabalance LLC | Physical Therapist | 11518 Grenfell Ave, Huntersville, NC 28078-2473 | 2019-09-27 |
1104342260 | Donna Misa | Physical Therapist | 8300 Yaxley Hall Dr, Raleigh, NC 27616-5977 | 2017-08-20 |
1548797699 | Carlos Bannister | Physical Therapist | 5908 Peaceful Glen Dr, Pfafftown, NC 27040-9300 | 2017-05-19 |
1811434129 | Claudian J Davis | Physical Therapist | 8208 Mccarron Way, Charlotte, NC 28215-8716 | 2017-01-24 |
1720435241 | Karen Ross | Physical Therapist | 1512 Edgeware Ct, Fayetteville, NC 28314-1864 | 2016-05-16 |
1265843908 | Laura Nobles Elkin | Physical Therapist | 6732 Us Highway 220 S, Asheboro, NC 27205-1578 | 2014-05-15 |
1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
1104160878 | Norine Cross | Physical Therapist | 204 Highland Trl, Chapel Hill, NC 27516-8626 | 2012-11-19 |
Find all providers with the same taxonomy |
City | KERNERSVILLE |
Zip Code | 27284 |
Please comment or provide details below to improve the information on MIKE COLEGROVE.
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.