Active NPI
Colleen Marie George
- Physical Therapist
- Inman, SC
National Provider Identifier
1043086663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11330
- Practice address
- 200 Fortress Dr
Inman, SC 29349-9160 - Phone
- (864) 599-8600
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11330 | SC | Primary |
Addresses
Primary practice location
200 Fortress Dr
Inman, SC 29349-9160
Mailing address
208 E Springs Rd
Columbia, SC 29223-7052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11330 | SC | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1043086663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 E SPRINGS RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292237052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FORTRESS DR",
"city": "INMAN",
"state": "SC",
"postal_code": "293499160",
"telephone_number": "864-599-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "COLLEEN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2023-11-27",
"certification_date": "2023-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "11330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inman, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.