Individual provider Active NPI

Colleen M Drahos, DPT

  • Physical Therapist
  • Flanders, NJ
National Provider Identifier
1023564960
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01680800 Issued in NJ
Practice address
272 US Highway 206
Suite 210
Flanders, NJ 07836-9081
Phone
(973) 927-3034
Fax
(973) 927-2853
NPI assigned
Aug 31, 2016
Last updated
Aug 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01680800 NJ Primary

Addresses

Primary practice location

272 US Highway 206
Suite 210
Flanders, NJ 07836-9081

Mailing address

272 US Highway 206
Suite 210
Flanders, NJ 07836-9081
Phone (973) 927-3034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161222000119 NJ Practitioner - Physical Therapist in Private Practice 8426339995 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Health Physical Therapy of Long Valley, PC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Maximum Health Physical Therapy LLC Physical Therapist CurrentSince Jan 16, 2020 Accepting new patients
Drahos Physical Therapy LLC Physical Therapist CurrentSince Nov 19, 2021 Accepting new patients

Locations

197 US Highway 46
Budd Lake, NJ 07828
Phone (973) 347-0500

62 E Mill Rd
Ste A2
Long Valley, NJ 07853
Phone (908) 520-2377

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1023564960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 US HIGHWAY 206",
            "address_2": "SUITE 210",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369081",
            "telephone_number": "973-927-3034",
            "fax_number": "973-927-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 US HIGHWAY 206",
            "address_2": "SUITE 210",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369081",
            "telephone_number": "973-927-3034",
            "fax_number": "973-927-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAHOS",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01680800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flanders, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.