Individual provider Active NPI

Peter J Colla, P.T.

  • Orthopedic Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1033325915
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1712 Issued in AZ
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

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
782880MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000329 AZ Practitioner - Physical Therapist in Private Practice 3577517754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Rehabilitation of Sun City Physical Therapist CurrentSince Jul 22, 2023 Accepting new patients
Southwest Therapy Specialists, P.C. Orthopedic PastSince Jul 19, 2008 Accepting new patients
Valley Rehabilitation, LTD. Physical Therapist PastSince Jun 15, 2003 Accepting new patients
Classical Physical Therapy Physical Therapist PastSince Jan 1, 1990 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.

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.

Verify at the official NPI Registry.