Colton Leland McGhee, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002596 Issued in VA

Practice address

5983 Richmond Tappahannock Hwy
Aylett, VA 23009-3009

Phone

(804) 769-7504

Fax

(804) 769-7524

NPI assigned

Jul 8, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• King William Physical Therapy

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Aylett, VA
  • NPI 1508049255
  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1023670288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5983 RICHMOND TAPPAHANNOCK HWY",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230093009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5983 RICHMOND TAPPAHANNOCK HWY",
            "city": "AYLETT",
            "state": "VA",
            "postal_code": "230093009",
            "telephone_number": "804-769-7504",
            "fax_number": "804-769-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGHEE",
        "first_name": "COLTON",
        "middle_name": "LELAND",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kingwilliamphysicaltherapy@yahoo.com",
            "affiliation": "N",
            "address_1": "5983 Richmond Tappahannock Hwy",
            "city": "Aylett",
            "state": "VA",
            "country_code": "US",
            "postal_code": "230093009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grace Limbaugh
• Anna A Limberger, PT, PHD
• Sara Eleanor Hooper Majewski, NP
• Mangohick Volunteer Fire Department Inc.
• Molly Baldwin Massey, FNP-C
• Latonia J McSwain, FNP-C
• William Mickens, QMHP
• Andrea L K Mitman
• Pamela Mundy Morrison, RN, MSN, FNP-BC
• Loretta V Mountcastle, LCSW

• All providers in Aylett, VA
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.