Active NPI
Peter J Colla, P.T.
- Orthopedic Physical Therapist
- Phoenix, AZ
National Provider Identifier
1033325915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1712
- Practice address
- 3445 W Valley View TRL
Phoenix, AZ 85086-9155 - Phone
- (602) 315-6894
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1712 | AZ | |
| Orthopedic Physical Therapist | 2251X0800X | 1712 | AZ | Primary |
| Sports Physical Therapist | 2251S0007X | 1712 | AZ | |
| Clinical Electrophysiology Physical Therapist | 2251E1300X | 1712 | AZ | |
| Geriatric Physical Therapist | 2251G0304X | 1712 | AZ | |
| Cardiopulmonary Physical Therapist | 2251C2600X | 1712 | AZ | |
| Pediatric Physical Therapist | 2251P0200X | 1712 | AZ | |
| Neurology Physical Therapist | 2251N0400X | 1712 | AZ |
Addresses
Primary practice location
3445 W Valley View TRL
Phoenix, AZ 85086-9155
Mailing address
3445 W Valley View TRL
Phoenix, AZ 85086-9155
Phone (602) 315-6894
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 782880 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Rehabilitation of Sun City | Physical Therapist | Current | Accepting new patients |
| Southwest Therapy Specialists, P.C. | Orthopedic | Past | Accepting new patients |
| Valley Rehabilitation, LTD. | Physical Therapist | Past | Accepting new patients |
| Classical Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
14300 W Granite Valley Dr
Ste E21
Sun City West, AZ 85375
Phone (623) 546-6712
14418 W Meeker Blvd
Ste 103
Sun City West, AZ 85375
Phone (623) 546-6712
Organizations & group practices 4
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.
-
dba Valley Rehabilitation of Sun City West, LLC
- Physical Medicine & Rehabilitation Physician
- Sun City West, AZ
- NPI 1942728340
Physical Therapist
-
- Physical Therapist
- Phoenix, AZ
- NPI 1760691448
-
- Orthopedic Physical Therapist
- Phoenix, AZ
- NPI 1871647289
-
- Physical Therapist
- Peoria, AZ
- NPI 1497722102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1033325915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 W VALLEY VIEW TRL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850869155",
"telephone_number": "602-315-6894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 W VALLEY VIEW TRL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850869155",
"telephone_number": "602-315-6894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLA",
"first_name": "PETER",
"middle_name": "J",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "1712",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AZ",
"license": "1712",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "AZ",
"license": "1712",
"primary": false
},
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "AZ",
"license": "1712",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "AZ",
"license": "1712",
"primary": false
},
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "AZ",
"license": "1712",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AZ",
"license": "1712",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "AZ",
"license": "1712",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "782880",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.